Direktorat Bina Kesehatan Ibu, 25 Januari 2013

Kerangka Kerja Akuntabilitas dan Roadmap Nasional

Commission on Information and

Accountability (COIA)

• Established November 2010

• Commission report released during the WHA, May 2011

• Recommendations discussed in high level meetings

– World Health Assembly - resolution WHA 64.12: May 2011

– G8 meeting: July 2011

• Report officially released by Dr Ban Ki-Moon, September 20, 2011

1. Vital events: By 2015, all countries have taken significant steps to establish a system for registration of births, deaths and causes and strengthen their health information systems…

2. Health indicators: By 2012, the same 11 indicators across the continuum of care: reproductive, maternal, newborn and child health, including HIV …

3. Innovation: By 2015, all countries have integrated the use of Information and Communication Technologies …

4. Resource tracking: By 2015, all 74+1 countries where 98% of maternal and child deaths take place, are tracking and reporting, at a minimum, two aggregate resource indicators- total health expenditure by financing source, per capita; and - total reproductive, maternal, newborn and child health expenditure by

financing source, per capita.

Recommendation

5. Country Compacts: By 2012, in order to facilitate resource tracking, “compacts” between country governments and all major development partners …

6. Reaching women and children: By 2015, all governments have the capacity to regularly review health spending …

7. National oversight: By 2012, all countries have established national accountability mechanisms that are transparent, that are inclusive of all stakeholders, and that recommend remedial action, as required.

8. Transparency: By 2013, all stakeholders are publicly sharing information on commitments, resources provided and results achieved annually, at both national and international levels.

Recommendation

9. Reporting aidBy 2012, development partners request the OECD-DAC to agree on how to improve the Creditor Reporting System so that it can capture, in a timely manner, all reproductive, maternal, newborn and child health spending by development partners. In the interim, development partners and the OECD implement a simple method for reporting such expenditure.

10.Global oversightStarting in 2012 and ending in 2015, an independent ‘‘Expert Review Group’’ is reporting regularly to the United Nations Secretary-General on the results and resources related to the Global Strategy and on progress in implementing this Commission’s recommendations.

Recommendation

10 Recommendations

Better Information for better results

1. Vital events2. Health indicators3. Innovation

Better Tracking of resources for women’s and children’s health

4. Resource tracking 5. Country compacts6. Reaching women and

children

Better oversight of results and resources: nationally and globally7.National oversight8.Transparency9.Reporting aid for

women’s and children’s health

10.Global oversight

Langkah-Langkah Untuk Mengembangkan

Kerangka Kerja Akuntabilitas Nasional

1. Assessment dan membuat roadmap2. Proses di tingkat regional : Bangkok,

September 2012 3. Proses di tingkat nasional : 20 – 22

February 20134. Pelaksanaan Kegiatan

1. Assessment dan roadmap: Mengkaji mekanisme nasional yang ada, (praktek

monitoring, review serta tindakan), dan mengidentifikasi kesenjangan dan kelemahan dari mekanisme tersebut. Penilaian secara umum dan perencanaan

menggunakan tools yang telah dikembangkan. Memfasilitasi pendekatan sistematis analisis situasi,dan menentukan tindakan prioritas dalam pengembangan roadmap.

Dapat digunakan untuk menilai dan memantau kemajuan terhadap akuntabilitas di sektor kesehatan secara keseluruhan, dengan fokus pada kesehatan ibu dan anak-anak

Proses di tingkat regional : Bangkok, September 2012

Langkah-Langkah Untuk Mengembangkan Kerangka Kerja Akuntabilitas Nasional

2. Proses di tingkat Nasional : 20 – 22 February 2013

2. Orientasi stakeholder kunci tentang konteks dan implikasi rekomendasi dari Komisi Informasi dan Akuntabilitas untuk Kesehatan Ibu dan Anak

3. Membangun konsensus diantara stakeholder, khususnya dari pemangku kepentingan di tingkat nasional yang lebih luas.

4. Mengembangkan rancangan roadmap nasional untuk meningkatkan akuntabilitas dengan kegiatan sekaligus menghitung biayanya untuk 4 tahun ke depan

5. Membangun pemahaman bersama tentang kegiatan yang diperlukan dan peran serta tanggung jawab dari masing-masing mitra untuk melaksanakan roadmap nasional

6. Sumber dana sebagian besar harus datang dari dalam negeri, dari eksternal dapat diminta dari inisiatif global dalam kerangka akuntabilitas.

Lanjutan........

4. Pelaksanaan Kegiatan : • Tindakan yang diidentifikasi dalam roadmap

nasional harus terintegrasi dan diterapkan dalam proses nasional yang telah ada, seperti rencana kerja tahunan untuk implementasi sektor kesehatan nasional, strategi MNCH dll

• Bantuan teknis dapat diberikan melalui WHO dan lainnya mitra lembaga, berdasarkan identifikasi kebutuhan dalam roadmap negara.

Hasil Asessment Sementara Bangkok, September 2012

Tools : Country Accountability Framework

Tools ini bertujuan untuk melakukan penilaian dan perencanaan kegiatan terkait kerangka kerja akuntabilitas nasional untuk kesehatan terutama Ibu dan Anak.

Hasil Asessment sementara Bangkok, September 2012

Global strategy on women and children / commitment (PNMCH)

will ensure all deliveries will be performed by skilled birth attendants by 2015. This universal access intervention is aimed at reducing the maternal mortality ratio from 228 per 100.000 live births in 2007 to 102 per 100.000 live births in 2015. In 2011, at least one and a half (1.5) million deliveries by poor women will be fully funded by the government. Central Government funding for health in 2011 will increase by USD 556 million compared to 2010. This fund will be available to support professional health personnel and to achieve quality health care and services in 552 hospitals, 8,898 health centres and 52,000 village health posts throughout Indonesia.

National Health Sector Plan Duration Key priority areas/relevant information Key funding partners

a. MoH Strategic Planning, b. National Midterm Development Plan, c. National Longterm Development Plan

a, b.2010-2014 c. 2005-2025

MCH, Family Planning, Nutrition, Health Insurance, Disease Control, Pharmaceutical, health Facility, Human Resources, Health Management, etc

AusAid, Global Fund

National RMNCH Plan (and other relevant progammatic plans - cMYP (immunization), HIV, malaria, etc.)

Duration Key priority areas/relevant information Key funding partners

a. RMNCH Roadmap 2010-2015

b. MPS Strategy

c. National Action Plan

Key donors/partners investing in accountability activities

Approximate funding

amount

Key priority areas funded/relevant information

Key funding partners

CRVS, Monitoring of Results, Information Communication Technology, MDSR, National review mechanisms, Resource tracking, Advocacy

Calendar of major upcoming events/activities(e.g., national health sector reviews, programmatic reviews, Countdown events, national COIA workshop, IHP+ related events, grant development-related workshops (e.g., for GAVI or the Global Fund), etc.)

Dates Key stakeholders involved/relevant information

Country team present at the multi-country Accountability Workshop

Hasil Asessment sementara Bangkok, September 2012

1. Civil Registration and Vital Statistics Systems

2. Maternal Death Surveillance and Response

3. Innovation and eHealth

4. Monitoring of resources

5. Review Processes

6. Monitoring or results

7. Advocacy and Outreach

Civil Registration and Vital Statistic

Monitoring of results

Maternal Death Surveillance and Response

Innovation and eHealth

Monitoring of resources

Review Process

Advocacy and outreach

Pembentukan working group

1. Civil Registration and Vital Statistics Systems

2. Maternal Death Surveillance & Response

3. Innovation and eHealth

4. Monitoring of resources

5. Review Processes

6. Monitoring of results

7. Advocacy & Outreach

Fungsi dan tugas working group :

1. Melakukan review terhadap hasil assessment sementara dari pertemuan di Bangkok

2. Melakukan klarifikasi dari hasil assessment

3. Memberikan review dokumen apabila diperlukan sebagai bahan referensi

4. Melakukan identifikasi kegiatan prioritas dari groupnya masing-masing

5. Bertanggungjawab pada tahap pelaksanaan kegiatan prioritas yang sudah diidentifikasi