country accountability framework: assessment* zambia · national health sector plan and m&e...
TRANSCRIPT
COUNTRY ACCOUNTABILITY FRAMEWORK: Assessment* Zambia
Policy Context
Global strategy on women and children/
commitment
National Health Sector Plan and
M&E Plan
Country team present at the National Accountability Workshop, 25-27 July 2012
MINISTRY OF HEALTH
- Vichael Silavwe, Chief IMCI Officer
- Ruth Bweupe, Family Planning Officer
- Chipalo Kaliki, Dep. Director M&E
- Avanthi Desilva, MPH Practicum Student
- Elisa Ahn,
MPH Practicum Student [email protected]
- Trust Mufune, Ag. Programme M&E Officer
- Pamela Kauseni, Principal Planner
- Calvin Kalombo, Snr. M&E Officer
- Desmond Banda,Senior Planner
MINISTRY OF COMMUNITY DEVELOPMENT,
MOTHER & CHILD HEALTH
- Stella Kangwa,Planner
- Lois Munthali, Chief SMH Officer
MINISTRY OF HOME AFFAIRS (MHA)
Xolani Akapelwa, Principal Planner M&E
MINISTRY OF LOCAL GOVERNMENT & HOUSING
Rhodah Habweele, Senior Planner
WHO
- Patricia Kamanga, WHO Zambia
- Solomon Kagulula, WHO Zambia
- Mary Katepa Bwalya, WHO Zambia
- Mwiche Nachizya, WHO Zambia
- B. Nganda, WHO IST ESA,
- Theresa N. Nzomo, WHO IST ESA
-Dag Roll Hansen, WHO headquarters
CLINTON HEALTH ACCESS INITIATIVE (CHAI)
- Tom Pellins, Sr. Research Associate
- Emily Henegham, Sr. Program Officer
- Yekoyesew Worku, Tech. Advisor
Situation Analysis
Zambia commits to: increase national budgetary expenditure on health from 11% to 15% by 2015 with a focus on women and children’s health; and
to strengthen access to family planning - increasing contraceptive prevalence from 33% to 58% in order to reduce unwanted pregnancies and
abortions, especially among adolescent girls. Zambia will scale-up implementation of integrated community case management of common diseases
for women and children, to bring health services closer to families and communities to ensure prompt care and treatment.
Zambia has recently revised its National Health Strategic Plan 2011-2015 (NHSP 2011-2015) and developed the Maternal Newborn and Child Health
roadmap for the period 2007-2014
Zambia is a member of the International Health Partnership+ (2009)
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 1/14
Country team present at the National Accountability Workshop, 25-27 July 2012 (cont'd)
CHURCHES HEALTH ASSOCIATION OF ZAMBIA (CHAZ)
Rosemary Kabwe, Health Programs Manager
CENTER FOR HEALTH, SCIENCE & SOCIAL RESEARCH
(CHESSORE)
T.J Ngulube, Executive Director
CHILD FUND ZAMBIA
Lydia Jumbe, FP Coordinator
CANADIAN INTERNATIONAL DEVELOPMENT AGENCY
(CIDA)
Madani Thiam, Head of Cooperation
CENTRAL STATISTICAL OFFICE
Palver Sikanjiji, S. Demographer
ELISABETH GLASER PEDIATRIC AIDS FOUNDATION
(EGPAF)
- Makando Kabila, Lead Developer
- Lauren Smith, Technical Advisor SI&E
- Vincent Ahonsi, Director SI&E
HEALTH PROFESSIONS COUNCIL OF ZAMBIA (HPCZ)
Mary M. Zulu, Registrar
LONDON SCHOOL OF ECONOMICS AND POLITICAL
SCIENCE (LSE)
Alice Evans, Lecturer
PARLIAMENT
Brian Chituwo, Chair, Health Committee
PSMD ZAMBIA
Daniel K. Kalebaila
SWEDISH EMBASSY
Audrey Mwendapole Muchemwa, Health Advisor [email protected]
UNITED NATIONS POPULATION FUND (UNFPA)
- Sarai B Malumo, NPO/RH
- Sibeso Mululuma, Assistant Representative
UNICEF
Nilda Lambo, Chief, Health Nutrition Program
Alemach Kahsay, Specialist HIV/AIDS
UNIVERSITY OF ZAMBIA
Lutangu Ingombe, Lecturer
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 2/14
Context Possible actions
Assessment 2Plan 2Coordinating Mechanism 1Commitment 2Hospital reporting 2Community reporting 1Vital statistics 1Local studies
1
COUNTRY ACCOUNTABILITY FRAMEWORK: Scorecard* Zambia
Civil registration & vital
statistics systems
An assessment of the status and practices of civil
registration and vital statistics (CRVS) is in process. Sample
Vital Registration with Verbal Autopsy (SAVVY) and verbal
autopsy are done.With regards to hospital reporting,
recording of cause of death is done, but there is no
reporting and obtaining of death certificates. Community
reporting of births and deaths and verbal autopsy are
carried out in sampled areas only. Local studies exist in
pilot form, but these studies are not representative.
1. Need for LG to be placed at institution to provide death certificates,
automation of reporting relooking at the law
2. Strengthen community reporting of birth and death through village
registers, community health workers, test new approaches, and also
Neighborhood watch e.g. cell phones, develop/strengthen use of VA by
community workers, test new approaches.
3. Strengthen sensitisation during antenatal, birth registration at birth
and collection of birth certificates during under five programs.
4. Design a form which can capture all the required information for
patients so that it`s easier to capture information which is needed by
both the Department of National Registration and and MoH.
5. Engage the Ministry of Community Development and Maternal Health
at community level for birth and death registration.
6. Involve the Neighbourhood Health Committees and Tradional Birth
Attendants in birth and death registration.
7. Create linkages between smartcare and birth registration
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 3/14
COUNTRY ACCOUNTABILITY FRAMEWORK: Scorecard* Zambia
Context Possible actions
National M&E Plan 1M&E Coordination 2Health Surveys 3Facility data (HMIS) 1Data sharing 2Analytical capacity 1Equity 3MNCH indicators
2
Context Possible actions
Notification 0Capacity to review and act 1Hospitals / facilities 2Quality of care 2Community reporting & feedback 0Review of the system
0
Monitoring of results
1. Make maternal death notifiable, health committee to look into
legislation to support MDR notification
2. Further training for MDSR at all levels
3. Ensure dissemination of report
4. Learn lessons from pilot, strengthen community reporting
5. Strengthen system of reviewing MDR at national and sub-national
levels; strengthen reporting from the sub-national to national level
While Zambia has recently revised its National Health
Strategic Plan 2011-2015 (NHSP 2011-2015) and developed
the Maternal Newborn and Child Health roadmap for the
period 2007-2014, the M&E plan of the NHSP (2011-2015)
does not capture all the 11 MNCH indicators. Currently it is
observed that the M&E plan does not adequately specifiy
the roles and responsibilities of key actors in the area of
data collection, compiliation, analysis and dissemination. At
facility level there is still need to have a well functioning
facility data reporting system (HMIS) that provides annual
statistics on the core MNCH indicators. It is also observed
that not all facilities are preparing facilitiy data quality
reports on a yearly basis. The Service Readiness
Availability Mapping (SAM) is still in its infancy and has not
yet been scaled up. At present only 8 of the 11 MNCH
indicators are utilised in most recent annual health sector
performance assessment reports.
1. Revise monitoring and evaluation (M&E) plans related to MNCH to
capture all remaining recommended MNCH indicators and include
performance measurement framework;
2. Strengthen M&E plans to specify roles and responsibilities of key
actors in data collection, compiliation, analysis and dissemination;
3. Need to establish a well functioning, integrated data reporting system
at facility level that aligns current reporting requirements
4. Strengthen analysis and interpretation of routine health information
data at all levels
5. Need for facilities to start preparing data quality reports on a yearly
basis;
6. The Performance Assessment system should include an assessment of
data quality reported at the facility level;
7.. Need to institutionalize Service Readiness Availability Mapping (SAM)
8. Facilitate open access to data for stakeholders and the general public
through the use of CHIP
Maternal death
surveillance & response
There is no current national policy requiring notification of
all maternal deaths. Reporting of causes of death using ICD
is being piloted in one province, but is not yet in the routine
system. Quality of care assessments are done as part of
general performance assessments biannually. There is no
separate comprehensive MNCH assessment. There are no
formal multi-stakeholder reviews of the maternal death
surveillance and response system, but reports are received
at the national level.
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 4/14
COUNTRY ACCOUNTABILITY FRAMEWORK: Scorecard* Zambia
Context Possible actions
Policy 1Infrastructure 2Services 2Standards 1Governance 1Protection
0
Context Possible actions
National health accounts 0Compact and coordination 1Production capacities 1Data use
0
eHealth services are effective, but only for immunization.
There are multiple systems running vertically and systems
shared. Currently no standards for eHealth services and
application exist, but there are plans to develop this in the
National Health Strategic Plan (NHSP). The Ministry of
Health (MoH) has an existing mHealth committee, which
works primarily with EID. The new health policy includes
data protection clauses.
1. Revise the ICT strategy to encompass eHealth
2. Facilitate broadband connectivity
3. Continue strengthening eHealth, improve infrastructure (more
computers, savers, etc), migrate to web-based which will need training of
staff, interface multiple systems of smart care, and DHIS
4. Develop ICT standards
5. Expand terms of reference for MoH led mHealth committee on EID to
include broader representation, IDENTIFY other stakeholders to be part
of the committee
6. Introduce a motion to ensure legislation on eHealth is tabled to be
passed as a Bill
Monitoring of resources
Innovation and eHealth
The National Health Accounts (NHA) framework is based on
the International Classification for Health Accounts (ICHA)
and is in the process of migrating to System of national
accounts (SHA 2011). There are two people in charge of
producing health accounts’ key indicators, one primary and
one secondary. Health account specific indicators were
produced for HIV/AIDS, TB, and Malaria in the last NHA for
2005-2006, but not for maternal, newborn, child health
(MNCH) although this has been planned for the current
NHA. There is an MoU (not called a compact) which came
to an end in 2010 thus providing the opportunity to sign a
compact when this is renewed. All stakeholders are
involved in this process. A general NHA series is produced
and published available, but it is not produced annually and
it does not include RH and CH sub-accounts. The NHA is an
input to the budget process, but not for the RMNCH
budget.
1. Review and sign the compact/MoU
2. Institutionalize of the NHA and RMNCH subaccount
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 5/14
COUNTRY ACCOUNTABILITY FRAMEWORK: Scorecard* Zambia
Context Possible actions
Annual reviews 2Synthesis informs reviews 1From review to planning 2Compacts or equivalent
2
Accountability processes
Collaboration between Partners , Civil Society and
Government is Zambia is guided under the health sector
coordination framework (SWAPs) which is guided through a
SWAP calendar. The SWAP calendar includes the following
health sector coordination Meetings: (1) MoH/CP Monthly
Policy Meetings (2) Sector Advisory Working Group
Meetings(SAG), (3) Joint Annual Reviews (JAR), (4) M&E sub-
committee and various Techincal Working Groups. There is
an intergrated coordinating committee for Maternal
Newborn and Child Health ( ICC for MNCH) and there are
annual consultative meetings. Despite the existence of this
committee since 2009, health sector coordination still
requires strengthening. This situation is being addressed
through the revision of the memorandum of understanding
(MoU) between government , partners and civil society.
Despite Zambia being a signatory to the Global IHP+
Compact, at country level, Zambia has not signed the IHP+
Compact. The revision of the MoU between governmet,
partners and civil society offers this opportunity. In
addition, in order for the sector coordiation mechanisms to
be adequately informed, there is need for a strong M&E
system supported by a robust Health management
Information System (HMIS). Unfortunately, at present the
HMIS is not linked between the various ministries
responsible for vital registration in the country, namely ;
Ministry of Community Development and Mother and Child
Health; Ministry of Health, Central Statistical Office, and
the Ministry of Home Affairs. The recent review of the
Ministry of Health HMIS system exposes a lot of gaps
relating to management, lack of adequate human resources
as well as inadequate infrastructure.
1.To invest in infrastructure and human resources for M&E to capture
VRS as well as MNCH indicators across all four ministries (Ministry of
Finance [CSO], Ministry of Home Affairs, Ministry of Community
Development and Mother and Child Health, Ministry of Health) and other
relevant authorities.
2. Need to revise and sign the new SWAP MoU among partners,
government and civil society.
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 6/14
COUNTRY ACCOUNTABILITY FRAMEWORK: Scorecard* Zambia
Context Possible actions
Parliament active in RMNCH 1Active RMNCH civil society 1RMNCH progress report/review 2Media role 1National Countdown meeting
1
Advocacy & outreach
1. Identify RMNCH specialist to provide technical support for
parliamentary committee and ZAPPD on RMNCH. By engaging with these
groups, we will seek to mobilise enhanced political support for RMNCH.
2. Advocate for formation of a sub-committee on RMNCH issues
3. The liason person at the MOH should liase with civil society to amplify
advocacy efforts for increased budget allocation to health and RMNCH in
particular 4. Engage communities through
participatory sensitisation, in order to improve bottom-up accountability
on quality provision of RMNCH, as well as to raise demand for RMNCH
services.
5. Provide regular technical updates to various stakeholders on RMNCH
for public consumption.
6. Plan for countdown between 2012 - 2014, Plan to engage stakeholders
in preparation for the next countdown
A parliamentary committee on health exists, but there is no
sub-committee for reproductive, maternal, newborn, and
child health (RMNCH). However, this health committee is
currently focusing on RMNCH and will continue to follow-
up RMNCH issues until goals and objectives are met. Public
participation is poor in public hearings concerning RMNCH
issues. RMNCH is part of the Joint Annual Review process. A
countdown event for RMNCH was planned for 2011 but did
not take place because of inadequate funds. A 2008
countdown report is available.
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 7/14
PRIORITY ACTIONS (2012-15)
including first year actions
(2012- 2013)
Resource
requirements
Lead in Government/prime
responsibility
Potential
partners
2012 2013 2014 2015 Funding
needs
(est.)
Catalytic
funding
request
12/13
Funding
sources
1. Conduct Situational Analysis on
CVR in Zambia, including study
visits, field visits, consultative
meetings, mapping exercise.
TA, Funds, MHA Partners: MOH, WHO, CAF,
CSO, Local Govt.,
EU,MCTA,UNICEF,UNECA,
MCDMC,CDC
X X $110,000 $60,000 WHO,
UNICEF,
CDC
2. Strengthen CVR reporting
through the key Ministries
MLGH,MHA ,MoH,MCDMC and
MCTA (Legislative, Administrative,
Capacity Building)
Tools, Funds MHA MOH, WHO, CAF, CSO, Local
Govt.,
EU,MCTA,UNICEF,UNECA,
MCDMC,CDC
X X X X $60,000 WHO,
UNICEF,
CDC
3. Birth and death registration
strengthened (Legislative,
Administrative, Capacity Building)
TA, Funds MHA Partners: MOH, WHO, CAF,
CSO, Local Govt.,
EU,MCTA,UNICEF,UNECA,
MCDMC,CDC
X X X $400,000 WHO,
UNICEF,
UNFPA,
GRZ, CDC
4. Production of Vital Statistics TA, Funds CSO Partners: MOH, WHO, CAF,
CSO, Local Govt.,
EU,MCTA,UNICEF,UNECA,
MCDMC,CDC, Statistics Norway
X X X $150,000 WHO,
UNICEF,
UNFPA,
GRZ, CDC
COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Zambia
CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 8/14
PRIORITY ACTIONS (2012-15)
including first year actions
(2012- 2013)
Resource
requirements
Lead in Government/prime
responsibility
Potential
partners
2012 2013 2014 2015 Funding
needs
(est.)
Catalytic
funding
request
12/13
Funding
sources
COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Zambia
CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)
1. Revise monitoring and
evaluation (M&E) plans related to
MNCH to capture all remaining
recommended MNCH indicators
and include performance
measurement framework;
TA and Financial
resources
Ministry of Health Home Affairs, WHO, CAF, CSO,
Local Govt., EU
$25,000 $25,000 GRZ, CDC,
CAF, EU
2. Strengthen M&E plans to specify
roles and responsibilities of key
actors in data collection,
compiliation, analysis and
dissemination;
TA and Financial
resources
Ministry of Health WHO X X $25,000 $25,000 UNFPA,
UNICEF,
EU
3. Need to establish a well
functioning data reporting system
at facility level that aligns current
reporting requirements ;
TA and Financial
resources
Ministry of Health X X TBD WHO, EU
4. Strengthen analysis and
interpretation of routine health
information data at all levels
TA and Financial
resources
Ministry of Health X X $50,000 EU
5. The Performance Assessment
system should include an
assessment of data quality at the
facility level;
TA Ministry of Health X X $10,000
6. Facilitate open access to data for
stakeholders and the general public
through the use of Country Health
Policy Process (CHIP)
Political will Ministry of Health X X $15,000 $15,000
7. Need to institutionalize Service
Readiness Availability (SARA).
Consider to include Lot Quality
assurance surveys.
TA and Financial
resources
Ministry of Health X X $300,000 CAF
MONITORING OF RESULTS
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 9/14
PRIORITY ACTIONS (2012-15)
including first year actions
(2012- 2013)
Resource
requirements
Lead in Government/prime
responsibility
Potential
partners
2012 2013 2014 2015 Funding
needs
(est.)
Catalytic
funding
request
12/13
Funding
sources
COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Zambia
CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)
1. Further training for MDSR at all
levels (three days training for all the
10 provinces including one TOT)
TA, tools,
financial
resources
MoH; MCDMCH Home Affairs, WHO, CAF, CSO,
Local Govt., EU, UNFPA,
UNICEF, World Bank
x x $240,000 $45,000
2. Strengthen system of reviewing
MDSR at all levels
Leadership, TA,
tools, financial
resources
MoH; MCDMCH Central level govenrment,
provincial administration, local
governmenet, WHO, CDC
x x x x $150,000
3. Implement national policy
following printing & dissemination
of document and national trainings
collaboration, TA, MoH; MCDMCH UNFPA, UNICEF, World Bank,
CDC
x x x x $150,000
4. Work to improve reporting
through HMIS, especially at
community level (through
community health assistants
reporting deaths within the
community to parent health
facilities)
tools,
collaboration,
MoH; MCDMCH Local Government, UNFPA,
UNICEF, World Bank, CDC
x x x $50,000
5. Make zonal (parent) facility
responsible for following up on
maternal deaths (may require
increased resources)
MoH; MCDMCH Local Government, UNFPA,
UNICEF, World Bank, CDC
x x x x $60,000
MATERNAL DEATH SURVEILLANCE AND RESPONSE
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 10/14
PRIORITY ACTIONS (2012-15)
including first year actions
(2012- 2013)
Resource
requirements
Lead in Government/prime
responsibility
Potential
partners
2012 2013 2014 2015 Funding
needs
(est.)
Catalytic
funding
request
12/13
Funding
sources
COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Zambia
CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)
1. Develop/finalize national ICT
policy/strategy /STANDARDS,
ensuring that it broadly includes
ehealth
TA; money MoH; MCDMCH Home Affairs, WHO, CAF, CSO,
Local Govt., EU, UNFPA,
UNICEF, World Bank, CDC
x x $20,000
2. Continue strengthening Ehealth,
including mhealth, infrastructure
and promote activities in this area
through partnership
TA, money,
infrastructure
development
MoH; MCDMCH x x x x $100,000
3) Work to augment mHealth
systems
TA, money,
infrastructure
development
MoH; MCDMCH CHAI, NMCC, MSL, Private
Sector (telecoms; ZOONA),
UNFPA, UNICEF, World Bank,
CDC
$0
Expand EID mHealth committee
(rewrite TOR) to other activities and
focus areas (malaria and CHA
activities have already, but should
be included in committee)
TA; consultation
of other
stakeholders
MoH; MCDMCH UNFPA, UNICEF, World Bank,
CDC
x x $10,000
Explore public-private partnerships
to develop/expand reach of ehealth
programs; possible platforms
(encourage CSR efforts of private
sector)
TA, collaboration,
infrastructure
development
MoF, MoH, Private Sector/
Foundations
UNFPA, UNICEF, World Bank,
CDC
x x $0
Work to improve mobile and
internet infrastructure for health.
Find solutions to push the limits of
connectivity.
money/infrastruc
ture
development
MoH JICA, Swedish Embassy,
UNFPA, UNICEF, World Bank,
CDC
x x x x $400,000
INNOVATION AND E-HEALTH
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 11/14
PRIORITY ACTIONS (2012-15)
including first year actions
(2012- 2013)
Resource
requirements
Lead in Government/prime
responsibility
Potential
partners
2012 2013 2014 2015 Funding
needs
(est.)
Catalytic
funding
request
12/13
Funding
sources
COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Zambia
CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)
1. Need to migrate to system of
health accounts 2011(SHA 2011)
and produce NHAs at regular
intervals eg every after two years
TA and Financial
resources
Ministry of Health Home Affairs, WHO, CAF, CSO,
Local Govt., EU
X $60,000 CAF/GRZ
2. Need to review and sign the
compact including government,
partners and civil society
Financial
resources
Ministry of Health All Cooperating Partners and
CSOs
X X $20,000 CAF, GRZ,
WHO
3. Institutionalization of the NHA
and RMNCH subaccount
TA and Financial
resources
Ministry of Health All Cooperating Partners and
CSOs
X X $60,000 $50,000 CAF, GRZ
1. Need to revise and sign the new
Sector Wide Approach SWAp) MoU
among partners, government and
civil society.
TA Ministry of Health CSHF, CSO-SUN Alliance,
UNFPA, UNICEF, WHO, DFID,
CIDA, SIDA, USAID, JICA
X
2. To invest in infrastructure and
human resources for M&E to
capture Vital statistics as well as
MNCH indicators across all four
ministries (Ministry of Finance
[CSO], Ministry of Home Affairs,
Ministry of Community
Development and Mother and Child
Health, Ministry of Health) and
other relevant authorities.
TA, financial
resources and
tools
MCDMCH, WHO, CSO, Local
Govt., EU, CIDA, SIDA, USAID,
World Bank, JICA
X x x x $1,906,000 GRZ,
Partners
MONITORING OF RESOURCES
ACCOUNTABILITY PROCESSES
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 12/14
PRIORITY ACTIONS (2012-15)
including first year actions
(2012- 2013)
Resource
requirements
Lead in Government/prime
responsibility
Potential
partners
2012 2013 2014 2015 Funding
needs
(est.)
Catalytic
funding
request
12/13
Funding
sources
COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Zambia
CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)
1. Plan for two countdown events
between 2012 - 2014, Plan to
engage stakeholders in preparation
for the next countdown
TA, financial
resources and
tools
Ministry of Community
Development and Mother and
Mother and Child Health
MCDMCH, WHO, UNICEF,
USAID, CIDA, SIDA, USAID,
X $400,000 GRZ,
Partners
2. Identify RMNCH specialists to
provide technical support for
parliamentary committee and
ZAPPD on RMNCH. By engaging
with these groups, we will seek to
mobilise enhanced political support
for RMNCH.
TA Ministry of Health MCDMCH,WHO, UNICEF,
MLGH, CSO, Local Govt., EU
X
3. Advocate for formation of a sub-
committee on RMNCH issues
TA Ministry of Community
Development and Mother and Child
Health
MOH, CSHF, CSO-SUN Alliance,
CIDA, SIDA, UNFPA, UNICEF,
WHO
X
4. The liaison person at the MOH
should liaise with civil society to
amplify advocacy efforts for
increased budget allocation to
health and RMNCH in particular
TA Prime responsibility: Ministry of
Health
CSHF, CSO-SUN Alliance,
UNFPA, UNICEF, WHO
X x x x
5. Engage communities through
participatory sensitisation, in order
to improve bottom-up
accountability on quality provision
of RMNCH, as well as to raise
demand for RMNCH services.
TA, financial
resources and
tools
Ministry of Community
Development and Mother and Child
Health
MOE, CSHF, CSO-SUN
Alliance,UNFPA, UNICEF, WHO
X x x x $700,000
6. Provide regular technical updates
to various stakeholders on RMNCH
for public consumption.
TA, financial
resources and
tools
Ministry of Health Partners: MCDMCH, CSHF,
UNFPA, CSO-SUN Alliance,
UNICEF, WHO, Media
X x x x $30,000 $30,000
TOTALS 5,501,000 250,000 -
ADVOCACY & ACCOUNTABILITY
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 13/14
PRIORITY ACTIONS (2012-15)
including first year actions
(2012- 2013)
Resource
requirements
Lead in Government/prime
responsibility
Potential
partners
2012 2013 2014 2015 Funding
needs
(est.)
Catalytic
funding
request
12/13
Funding
sources
COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Zambia
CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)Needs Catalytic request
CRVS $720,000 $60,000
Monitoring of results $425,000 $65,000
MDSR $650,000 $45,000
eHealth & Innovation $530,000 $0
Monitoring of resources $140,000 $50,000
Reviews $1,906,000 $0
Advocacy $1,130,000 $30,000
TOTAL $5,501,000 $250,000
* This final version has been reviewed and validated through a national accountabilty workshop involving a broader stakeholder group. Page 14/14