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Partnerships for health development

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There is a tension between the often short-term goals of donors, who require quick and measurable results on their investments, and the longer-term needs of the health system.[1] That tension has only heightened in recent years, where the surge in international aid for particular diseases has come with ambitious coverage targets and intense scale-up efforts oriented much more to short-term than long-term goals. Though additional funding is particularly welcome in low-income contexts, it can often greatly reduce the negotiating power of national health system leaders in modifying proposed interventions or requesting simultaneous independent evaluations of these interventions as they roll out.

Harmonizing the policies, priorities and perspectives of donors with those of national policy-makers is an immediate and pressing concern – though with apparent solutions. In addition, the selective nature of these funding mechanisms (e.g. targeting only specific diseases and subsequent support strategies) may undermine progress towards the long-term goals of effective, high-quality and inclusive health systems.

Even where this funding has strengthened components of the health system specifically linked to service delivery in disease prevention and control – such as specific on-the-job staff training – the selective nature of these health systems strengthening strategies has sometimes been unsustainable, interruptive and duplicative. This puts great strain on the already limited and overstretched health workforce. In addition, focusing on "rapid-impact" treatment interventions for specific diseases and ignoring investments in prevention may also send sharply negative effects across the system’s building blocks, including, paradoxically, deteriorating outcome on the targeted diseases themselves.

Five mutually reinforcing principles of the Paris Declaration on Aid Effectiveness (2005)[2]

Many of these issues have been recognized internationally, and a number of donors have agreed to better harmonize their efforts and align with country-led priorities – as outlined in the 2005 Paris Declaration on Aid Effectiveness (see figure). However, although some progress has been made in applying the Paris Declaration principles, it has been slow and uneven. Change in the process and the nature of the relationship between donors and countries requires time, focused attention at all levels, and a determined political will.

This section of the health system profile is structured as follows:

Résumé analytique

The English content will be available soon.

Le Burkina a adhéré en mai 2010 au Partenariat International pour la Santé et initiatives connexes (IHP+) qui a pour objectif d’accroître les ressources et les efforts pour la santé, ainsi que l’efficacité de l’aide dans le secteur, afin d’accélérer l’atteinte des Objectifs du Millénaire pour le Développement (OMD).

2. JOURNEE MONDIALE DON DU SANG BOBO - Transfusion sanguine.jpg

Le Compact s’inscrit en adéquation avec les autres accords et/ou ententes en matière d’aide au développement qui prévalent au Burkina Faso, en particulier la Stratégie de Croissance Accélérée et de Développement Durable (SCADD) 2011-2015[3]. Il vise à matérialiser les principes de la Déclaration de Paris au niveau du secteur de la santé de même que les engagements du Programme d’Action d’Accra et du Partenariat de Busan pour une coopération efficace au service du développement.

L’élaboration du Compact national est sous la responsabilité d’une équipe nationale constituée en juillet 2011, qui regroupe une dizaine de cadres du MS, deux représentants du Ministère de l’Economie et des Finances (MEF) et plusieurs représentants des PTF. Cette équipe bénéficie en outre de l’appui d’une consultante mise à disposition par l’Organisation Mondiale de la Santé (OMS) sur une période de trente jours répartis sur trois missions. Une version provisoire du document de COMPACT national est actuellement (Juillet 2012) disponible.

Notes de fin: References, sources, méthodes, abréviations, etc.

  1. Systems thinking for health systems strengthening (pdf 1.54Mb). Geneva, World Health Organization, 2009
  2. The Paris Declaration on Aid Effectiveness (2005)
  3. Stratégie de Croissance Accélérée et de Développement Durable 2011-2015 (pdf 1.96Mb)