Building National Capacity in the Health, Nutrition and Population Sector : A Perspective
The note reflects on the issue of effective health sector investments with sustainable results, which based on the Bank's experience, constraints to such efforts is neither lack of money, nor absence of technology, but rather the weak national...
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| Format: | Brief |
| Language: | English |
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World Bank, Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2000/12/2811702/building-national-capacity-health-nutrition-population-sector-perspective http://hdl.handle.net/10986/9827 |
| Summary: | The note reflects on the issue of
effective health sector investments with sustainable
results, which based on the Bank's experience,
constraints to such efforts is neither lack of money, nor
absence of technology, but rather the weak national capacity
to fully benefit from those investments. This has been
documented, noting that while the Bank's Population,
Health and Nutrition (PHN) portfolio assessed positive
evolutions in quantity, and quality of these PHN projects,
also highlighted was the issue of serious weaknesses by the
Bank, in the assessment of national capacity to implement
these projects, including in the design and implementation
of institutional strengthening, needed to support
investments in the sector. Unfortunately this weakness
persists, as documented by the recent Operations Evaluation
Department review of development effectiveness. These
observations fostered the development of a new framework for
institutional assessment, and design of interventions for
capacity building, whose application has shown promising
results. The note provides experiences from Niger and
Burkina Faso, which entail paradigm shifts both for the
Bank, as well as for governments, but, while the experience
thus far seems encouraging, serious challenges remain. The
Bank should ensure support to ongoing reforms for
decentralization, and integration, through the choice of
appropriate performance indicators for which local actors
will be held accountable, and continue its evolution in the
context of innovations, and policies, focused on
cost-effectiveness, and financial requirements. |
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