Leo Devillé is the Chief Executive Officer at HERA – Right to Health and Development. In this video, he talks about a monitoring exercise carried out in 2014 by HERA and its consortium partners on behalf of the International Health Partnership (IHP+). IHP+ is a voluntary partnership between a number of 37 countries and 29 development partners (including bilateral donors, multilateral, etc.) which aims to reach better health outcomes by improving development. The members have committed to a global compact and country compacts. IHP+ has been evaluated four times, with HERA implementing the fourth monitoring round, which Mr Devillé describes in this video. HERA focused on certain aspects of development effectiveness.
According to Mr Devillé, the two main findings from this monitoring round are:
- Countries tend to perform better the longer they are a partner of IHP+. Further, the performance of the development partners is correlated with the performance of the countries, which suggests that development partners are likely to perform better in a conducive policy environment.
- The performance of all the member countries either improved or has been maintained over time, both in terms of accountability indicators and in terms of financing indicators. However, when it came to development partners, the results were not as good. While they performed well when it came to accountability indicators, their performance in financing indicators was much less convincing, particularly because they seemed reluctant to channel funds through the public finance systems of the country.
Overall, this exercise has demonstrated that improving development effectiveness goes beyond signing compacts. Countries have to be willing to implement reform, and development partners have to be willing to put more trust into working with countries, taking some risks in providing support to health systems, even in more fragile contexts. In the future, it will be important to continue to integrate this kind of monitoring into country monitoring frameworks and also to work together with the Global Partnership for Effective Development Cooperation who do similar monitoring exercises in different sectors. One major success of this initiative has been the creation of the world’s largest health database on development effectiveness.
The data collected during this monitoring round are presented as Country and Development Partner Scorecards, and in a global report. Executive summaries of the report are available in English, French, Portuguese and Spanish and can be downloaded, along with other materials, from the IHP+ website.
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