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Summary: Fifth Informal Global Health Agency Leaders Meeting World Bank Group Headquarters, April 10, 2014

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Summary: Fifth Informal Global Health Agency Leaders Meeting World Bank Group Headquarters, April 10, 2014 Summary: Fifth Informal Global Health Agency Leaders Meeting World Bank Group Headquarters, April 10, 2014 Background: The purpose of the gatherings of global health agency leaders is to accelerate progress on the implementation of the agreed principles of the International Health Partnership (IHP+). At the Fourth meeting in September 2013 during the United Nations General Assembly (UNGA), the Director-General, WHO, Margaret Chan, agreed to chair a working group of senior focal points from the participating global health agencies to work with countries to develop a rationalized results measurement framework. World Bank Group President Jim Yong Kim and Dr. Chan co-chaired the April 10, 2014, meeting, with the aim of discussing the working group’s summary report and agreeing a way forward toward: 1) a common final list of indicators, 2) a reduced reporting burden for countries, and 3) operationalizing the agenda to improve monitoring of results and performance. Discussion: Dr. Chan described the excellent participation and inputs provided by the work of the inter- agency Working Group on Indicators and Reporting Burden she chaired in the period October 2013 through April 2014. She highlighted the primary recommendation of the Rapid Assessment of the Burden of Indicators and Reporting for Health Report: to cut the current number of indicators that development partners require for country reporting – estimated to be over 600 - by at least 50%. Tim Evans, the Director, Health, Nutrition and Population of the World Bank Group, summarized the draft report on Global Core Indicators for Measurement of Health Results with it four key recommendations for development partners: 1. Use common, country-led platforms for results measurement and accountability as outlined by IHP+. 2. Agree on a limited, common core set of indicators. 3. Align reporting cycles of agencies. 4. Coordinate investments in strengthening countries’ data systems and institutional capacity (including vital statistics, harmonized regular surveys, facility and administrative and data reporting systems). Participants agreed with the Report’s assessment that reporting requirements are creating an increasing burden for countries, country monitoring systems are weak, and investments in strengthening country data systems are often fragmented and inefficient. They also concurred in general with the key elements of the framework for moving forward with several partners indicating the proposed set of core indicators would complement their agencies’ ongoing efforts to design the measurement frameworks for their programs. It was noted, however, that while there is general agreement with adopting this core set of indicators, some development partners have legal requirements for reporting back to their governments that may include indicators beyond the core set. Participants made a number of specific suggestions in taking this agenda forward including: a) involving countries directly in the next steps of implementing this agenda; b) engaging private sector and new donors in this agenda to stem new sources of indicator inflation; c) developing a better understanding of what it will take to operationalize these core indicators; d) supporting improvements and innovations in generation of the indicators – including the “open data” agenda – that optimize data transparency, timeliness and confidence amongst users and minimize costs of collection and reporting; e) ensuring that indicators collected find their way to appropriate audiences including policy-makers and frontline managers; and f) building bridges with other initiatives and groups working on results reporting, monitoring and evaluation.. Participants also recommended aligning this effort with the post-2015 discussions. Participants stressed the need to make significant progress on this effort before the post-2015 process concludes – with appropriate deference to member states – and determine which indicators could reflect common post- 2015 health themes. Given a likely focus on universal health coverage (UHC) in the post-2015 framework, participants suggested considering measuring progress through the lens of UHC. Next Steps: The DG WHO, Margaret Chan, will continue to chair a working group of focal points from participating global health agencies The working group will finalize the core global indicators and agree how to implement the other recommendations of the report. The global health agency leaders will reconvene in September 2014 on the sidelines of UNGA to discuss progress on the implementation of the recommendations. A February 2015 measurement conference co-convened by USAID, WHO and the World Bank Group will build on this work. Participants: Natasha Bilimoria, Director of US Strategy, GAVI Alliance Deborah Birx, Ambassador, U.S. Global AIDS Coordinator Margaret Chan, Director-General, WHO Nick Dyer, Director General for Policy and Global Programmes, DfiD Daryl Edwards, Senior Development Advisor, Embassy of Australia Chris Elias, President, Global Development Program, Bill & Melinda Gates Foundation Tim Evans, Director, Health, Nutrition and Population, World Bank Group Jörgen Frötzler, Head of Section for Multilateral Development Banks, Ministry for Foreign Affairs of Sweden Tore Godal, Special Adviser on Global Health to the Prime Minister of Norway Geeta Rao Gupta, Deputy Executive Director, UNICEF Diane Jacovella, Vice President, Multilateral and Global Programs, CIDA Jim Yong Kim, President, World Bank Group Kiyoshi Kodera, Vice President, Japan International Cooperation Agency Jimmy Kolker, Assistant Secretary, HHS’s Office of Global Affairs, U.S. Department of State Taona Nana Kuo, Senior Manager, Every Woman Every Child Health Team, Executive Office of the UN Secretary-General Jacqueline Mahon, Senior Policy Adviser, Global Health, UNFPA Tim Martineau, Chief of Staff, Executive Office, UNAIDS Michael Myers, Acting Managing Director for Health, Rockefeller Foundation Leslie Rowe, Ambassador, Global Health Diplomacy, U.S. Department of State Rajiv Shah, Administrator, USAID Juergen Zattler, Deputy Director General, European and Multilateral, Development Policy, Germany .
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