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 |
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okr-10986-98272021-04-23T14:02:47Z Building National Capacity in the Health, Nutrition and Population Sector : A Perspective Vaillancourt, Denise ACCOUNTABILITY AUTONOMY BANK ACCOUNTS BANK INVESTMENTS COMMUNICABLE DISEASES COMMUNITIES DECENTRALIZATION DISTRICTS EQUIPMENT EXERCISES EXPENDITURES HEALTH FACILITIES HEALTH POLICY HEALTH PROJECTS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM INTEGRATION NGOS NUTRITION PARTNERSHIP PUBLIC POLICY PUBLIC SECTOR REHABILITATION REORGANIZATION YOUTH HEALTH FINANCING POPULATION SECTOR NUTRITION & HEALTH CARE INVESTMENTS CAPACITY CONSTRAINTS PROJECT DESIGN PROJECT PERFORMANCE INDICATORS CAPACITY BUILDING INSTITUTIONAL FRAMEWORK REFORM POLICY DECENTRALIZATION INTEGRATED APPROACH POLICY FRAMEWORK INNOVATIONS COST-EFFECTIVENESS FINANCIAL MECHANISMS 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. 2012-08-13T09:38:27Z 2012-08-13T09:38:27Z 2000-12 http://documents.worldbank.org/curated/en/2000/12/2811702/building-national-capacity-health-nutrition-population-sector-perspective http://hdl.handle.net/10986/9827 English Africa Region Findings & Good Practice Infobriefs; No. 172 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Brief Publications & Research Africa Niger Burkina Faso |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACCOUNTABILITY AUTONOMY BANK ACCOUNTS BANK INVESTMENTS COMMUNICABLE DISEASES COMMUNITIES DECENTRALIZATION DISTRICTS EQUIPMENT EXERCISES EXPENDITURES HEALTH FACILITIES HEALTH POLICY HEALTH PROJECTS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM INTEGRATION NGOS NUTRITION PARTNERSHIP PUBLIC POLICY PUBLIC SECTOR REHABILITATION REORGANIZATION YOUTH HEALTH FINANCING POPULATION SECTOR NUTRITION & HEALTH CARE INVESTMENTS CAPACITY CONSTRAINTS PROJECT DESIGN PROJECT PERFORMANCE INDICATORS CAPACITY BUILDING INSTITUTIONAL FRAMEWORK REFORM POLICY DECENTRALIZATION INTEGRATED APPROACH POLICY FRAMEWORK INNOVATIONS COST-EFFECTIVENESS FINANCIAL MECHANISMS |
| spellingShingle |
ACCOUNTABILITY AUTONOMY BANK ACCOUNTS BANK INVESTMENTS COMMUNICABLE DISEASES COMMUNITIES DECENTRALIZATION DISTRICTS EQUIPMENT EXERCISES EXPENDITURES HEALTH FACILITIES HEALTH POLICY HEALTH PROJECTS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM INTEGRATION NGOS NUTRITION PARTNERSHIP PUBLIC POLICY PUBLIC SECTOR REHABILITATION REORGANIZATION YOUTH HEALTH FINANCING POPULATION SECTOR NUTRITION & HEALTH CARE INVESTMENTS CAPACITY CONSTRAINTS PROJECT DESIGN PROJECT PERFORMANCE INDICATORS CAPACITY BUILDING INSTITUTIONAL FRAMEWORK REFORM POLICY DECENTRALIZATION INTEGRATED APPROACH POLICY FRAMEWORK INNOVATIONS COST-EFFECTIVENESS FINANCIAL MECHANISMS Vaillancourt, Denise Building National Capacity in the Health, Nutrition and Population Sector : A Perspective |
| geographic_facet |
Africa Niger Burkina Faso |
| relation |
Africa Region Findings & Good Practice Infobriefs; No. 172 |
| description |
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. |
| format |
Publications & Research :: Brief |
| author |
Vaillancourt, Denise |
| author_facet |
Vaillancourt, Denise |
| author_sort |
Vaillancourt, Denise |
| title |
Building National Capacity in the Health, Nutrition and Population Sector : A Perspective |
| title_short |
Building National Capacity in the Health, Nutrition and Population Sector : A Perspective |
| title_full |
Building National Capacity in the Health, Nutrition and Population Sector : A Perspective |
| title_fullStr |
Building National Capacity in the Health, Nutrition and Population Sector : A Perspective |
| title_full_unstemmed |
Building National Capacity in the Health, Nutrition and Population Sector : A Perspective |
| title_sort |
building national capacity in the health, nutrition and population sector : a perspective |
| publisher |
World Bank, Washington, DC |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2000/12/2811702/building-national-capacity-health-nutrition-population-sector-perspective http://hdl.handle.net/10986/9827 |
| _version_ |
1764410810366427136 |