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Lancet. 2011 Nov 19; 378(9805):1764-5.Add to my documents.
A healthy partnership -- a case study of the MOH contract to KHANA for disbursement of World Bank funds for HIV / AIDS in Cambodia.
[Brighton, England], International HIV / AIDS Alliance, 2005 Mar. 12 p.In 1998, the Cambodian Ministry of Health was experiencing difficulties in disbursing World Bank funds earmarked for local NGOs/CBOs, and in 1999, contracted Khana to manage the disbursement process. Given the scarcity of documented successful government-NGO/CBO disbursement initiatives, the Alliance commissioned a case study of this mechanism of making World Bank funds more accessible to civil society organisations. This report of the case study outlines the background and context to adopting the disbursement mechanism, explains the selection of the disbursing agency and the process of contract negotiation, details the nature and quantity of the disbursement, and identifies the strengths, weaknesses and lessons learned from this model. (excerpt)
In: Korean experience with population control policy and family planning program management and operation, edited by Nam-Hoon Cho, Hyun-Oak Kim. [Seoul], Korea, Republic of, Korea Institute for Health and Social Affairs, 1991 Sep. 311-27.The Korean experience with collaboration in family planning (FP) is explored in this chapter. Attention is paid to the nature of the decision, external resources (International Planned Parenthood Federation (IPPF) in detail and the following in brief: the UN Economic and Social Commission (UNECOSOC) and the UN Fund for Population Activities (UNFPA), the Population Council of New York (PC), the Swedish International Development Authority (SIDA), the US Agency for International Development (USAID), and the Japanese Organization for International Cooperation (JOICFP)). Suggested criteria for FP projects include, community concern, prevalence, seriousness of unmet need, and manageability, but with external collaboration, consideration should be given to whether domestic resources are insufficient, the priorities of potential donors, expected problems with compliance with the grant, and government commitment to the project. External collaboration can take the form of moral support, technical cooperation, or financial support. The nature of the project as well as the expected achievements of the project need to be identified. Resources may be manpower, facilities, commodities, money, and/or time. The Korean experience with IPPF began with a visit by IPPF in 1960. In 1961, the Planned Parenthood Federation of Korea (PPFK) was accepted as a member of IPPF. Support which began in 1961 has reached over 16 million dollars cumulatively. At present about 25% of support for FP comes form IPPF. The author's experience as a representative of PPFK to IPPF and other groups is described. Tables provide information on commodities supplied by year and dollar amount, and allotment of UNFPA Assistance to Ministries and Institutions between 1973-86 by the number of projects and the dollar amount; types of program activity and dollar amount from UNFPA is also provided.
Report of the Seminar on Programme Sustainability through Cost Recovery, Kuala Lumpur, Malaysia, 21-25 October, 1991.
London, England, IPPF, 1991. 15,  p.In the face of widespread user acceptance, rapidly growing demand, and developing country financial constraints, family planning associations must learn how to operate more efficiently and mobilize new resources with a view to ensuring greater long-term sustainability. Cost recovery was therefore identified as a means of maximizing the use of limited resources, improving program quality, strengthening management, and making service providers more accountable to clients. This document reports results from seminar participants organized to share the benefits of cost recovery with the international community, and to review policy and management issues. Reviewed in the seminar were country experiences with cost recovery, working group discussions on the definition of sustainability, the cost framework of family planning, determining user fees and clients' willingness to pay, preconditions for setting user fees, prerequisites for social marketing, models for cost sharing with the government and private sector, and country case studies from the Gambia, India, and Kenya. Those programs attaining highest self-sufficiency were aided by strong government commitment to either support family planning or to not impede program progress. Also helpful were a businesslike approach to service provision, a strong promotional campaign, organizational structure conductive to effective resource management, and resolve to try diverse approaches. In concluding, the importance of placing the customer first, cost-effectiveness, cost analysis, strategic planning, inter-FPA cooperation, and business plans are mentioned.
HEALTH POLICY AND PLANNING. 1991 Dec; 6(4):327-35.Many non-governmental organizations (NGO) remained in the Wollo region of Ethiopia following famine relief and emergency medical service efforts of 1984-85. Since then, these organizations have helped identify strategies and processes needed to implement Ministry of Health (MOH) policies, especially in the area of integrated maternal-child/curative health services. This paper discusses the strengths and weaknesses of 4 broad approaches to health development adopted by the NGOs over the post-famine relief period of 1986-88, and considers further strategic adaptation in later years. Under the themes of direct management, clinic adoption, impact area, and air-drop resources, earlier NGO approaches largely suffered poor sustainability, non-replicability, and inefficient use of resources. Moreover, these approaches distracted the MOH from pursuing its own viable approaches, effectively stymieing the development of district and regional health systems. Later NGO approaches support improvements in the MOH's priority health programs through the provision of technical and material assistance for analyzing, developing, and implementing improved systems of district health management and care. NGOs wishing to adapt their existing programs into a comparable health systems approach should build upon existing relationships with the MOH in support of district and regional health services, foster skill development among indigenous health personnel, seek avenues to improve efficiency, and promote activity-based training and regional and district health team management.
Evaluation report of UNFPA assistance to the National Family Planning Programme of Thailand: Project THA/76/PO1--expansion of family planning services and support to the infrastructure of the NFPP and Project THA/76/PO5--National Family Planning Communication Programme.
New York, New York, United Nations Fund for Population Activities, April 1982. 74 p.Looks at the contribution of the United Nations Fund for Population Activities (UNFPA) to Thailand's National Family Planning Program (NFPP) and assistance given to NFPP through project THA/76/PO1: Expansion of Family Planning Services and Support to the Infrastructure of the NFPP, and THA/76/PO5: National Family Planning Communication Program. The UNFPA has been assisting population projects in Thailand since 1971. Over 90% of the funding has gone to support the NFPP in its service delivery activities, training, and information, education, and communication activities. The long range objectives of both projects was to contribute to decreasing the annual rate of population growth from above 2.6% in 1976 to 2.1% by the end of 1981. The THA/76/PO1 project was to assist the Ministry of Public Health in implementing its national population policy through expansion of its family planning service network. The THA/76/PO5 project was to assist the Ministry of Public Health in its communication program in support of family planning. Achievements and projects of the NFPP are discussed and their general strategy, planning, research, evaluation, approaches in mass communication, and small group activities are also covered. The evaluation Mission made numerous recommendations and suggestions concerning reprogramming of 1982 activities. The recommendations and suggestions were addressed to the government for its consideration and to UNFPA for policy and program decisions.