challenges in coordinating aid among donors in laos - tae jong kim

8/3/2019 Challenges in Coordinating Aid Among Donors in Laos - Tae Jong Kim

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06/10/201

Wondong ChoKorea Institute for Public Finance

Taejong KimKDI School of Public Policy and Management

ADB WorkshopOctober 2011

National spearhead human capital

Catching up faster when one lags behind further

But there are conditions: rule of law, openness, etc.

May also need national spearhead human capital

Entrepreneurs

Public servants Researchers

Teachers

Health professionals



06/10/201

Source: Organization for Economic Cooperation and Development

Clinical skills upgrading for

healthcare professionals Vertical interventions may yield measurable impacts

in a speedier fashion, and be easier to fund

Capacity building is essential however for sustaineddevelopment of the healthcare sector

Experiences of Korea as a former recipient Emphasis on capacity building in the development

agenda “Aid and Beyond”

Clinical skills deficit may be a critical bottleneck inLao PDR

Under-use of local facilities/high attrition of HP



06/10/201

Seoul-Dr. Lee Project Collaboration between the UHS and the SNU School of

Medicine to upgrade faculty capacity for teaching and research Yearlong UHS faculty skills-upgrading in Seoul for up to 9

faculty members a year, combined with equipments andmaterials to be taken back

Named after the late Dr. Lee, Secretary General of WHO Modeled after the collaboration between the SNU School of

Medicine and the University of Minnesota under the aegis of theUSAID from the 50s

Funded through the Korea Foundation for International

Healthcare (KOFIH) Steep challenges: language barrier, differences in field conditions,

relatively small scale, relative lack of focus no more than justanother drop?

Lao-Korea Friendship Children’s Hospital

Largest hospital in Lao PDR to specialize in servingchildren patients over 6 months To serve as one of the teaching hospitals of the UHS

About 70 beds

Funded through KOICA

The funding plan provides for equipments for medicaltreatments, but not for those to support thefunctioning of the facility as a teaching hospital suchas a proper skills lab

A plan in the pipeline to fund skills upgrading for localhealthcare professionals



06/10/201

Paris Declaration for Aid Effectiveness Ownership : for aid recipients to forge their own

national development strategies

Alignment: for donors to support these strategies

Harmonization: for donors to work to streamline theirefforts in-country

Results: for development policies to be directed toachieving clear goals, and

Mutual accountability: for donors and recipients to be jointly responsible for achieving these goals

How did the capacity building programs

measure up

Ownership: Education Development Center for HP

Alignment: insufficient consultation?

Harmonization: ample opportunities thereof amongKorean and international agencies

Focus on results: collaboration with KDISDevelopment Lab

Joint accountability: awareness of the significance of outputs and outcomes for sustainability



06/10/201

Consultation among Lao and Korean agencies led to

restructuring, reorientation, and more resource

commitments The pledge on the part of the UHS to select for future Seoul-Dr. Lee

program batches key faculty personnel to be deployed at the newChildren’s Hospital upon their return,

The pledge on the part of the SNU Medical School to send onefaculty advisor to the UHS to assist the returning faculty membersand coordinate the initial development efforts at the newChildren’s Hospital as a teaching hospital, as well as a promise toconsider expansion of the Seoul-Dr. Lee Program into a two-year,degree program,

The pledges from the KOFIH and KOICA to coordinate their future

funding for the SDL project and the Friendship Children’s Hospitalto support the development of the new teaching hospital, and

The pledge from KOLAO, the leading private-sector business groupin Lao PDR to provide funding to augment funding gaps that mightemerge even after combined commitments from governmental andinternational donor agencies.

Seoul-Dr. Lee Project(program to focus on pediatrics and related fields)

Lao-Korea Friendship Children’s Hospital(teaching hospital)

-Clinical skills training for UHS medical students- Pediatrics practice, research and learning center

KOICA follow-up Projects- Training of healthcare professionals from provinces and districts

- Vehicle for diffusion of the Seoul-Dr. Lee Project



06/10/201

EDC/HP as a Vehicle for Clinical Skills Upgrading Healthcare a bottleneck on the path to sustained

development

Financial AND human resources critical to overcome thebottleneck

Clinical skills deficit could create a vicious circle

In the Korean case, the Minnesota Project provided theinitial impetus, and the momentum sustained through theefforts of the NTTC (the latter with support from the WHO)

Difficulties for bilateral donor agencies to fund theinitiative: long gestation period, long results chain,difficulties in establishing claims of successful outcomes

PediatricsModule

Seoul-Dr. Lee Project(skills upgrading for

faculty members)

Lao-KoreaFriendship

Children’s Hospital(teaching hospital)

KOICA follow-ups-Training of healthcare

professionals fromprovinces and

districs

OB-GYNModule

Settatilath Hospital(teaching hospital)

……

Other Module(InternalMedicine, e.g.)

Other Module

Support from JICA?

UHS EDC/HP



06/10/201

Road Ahead September Vientiane workshop hosted by the Lao

government, convention of international donor agencies

Sector-wide coordination group the formal policy dialoguechannel

Ownership and leadership on the part of Lao MOH andUHS critical in designing strategic implementation planand securing donor engagement Components/modules phase plan

Financing plan (per module, infrastructure investment vs.recurrent costs)

Need for monitoring and impact assessment system tosustain continued donor engagement

challenges in coordinating aid among donors in laos - tae jong kim

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