joint-aus-us-gov-review-hamlin-fistula-ethiopia-final-report.doc

Introduce a strategic systems development change

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Introduce a Strategic Systems Development change process and management processes to support a strategy that prioritises quality and resilience and a culture of quality assurance. Revise allocation of costs and overheads for more even distribution. Plan in-service training to build staff finance and management capacity. Finances and Financial Sustainability Embed processes to maintain and monitor the balance of different funding sources, and explore strategies designed to increase proportion of income from private sector donors/income generating activities. Formalise relationship between HFE and an “alliance” of HPs and support development of new HPs; clarify relations between HFE and HFIF including consideration of ways of formalising HFIF’s relationship with HFE and other HPs. Use the new strategic plan to demonstrate strategic value of HFE in the context of the HSDP-IV and use to leverage new resources, aiming for donor coordination and streamlined reporting and M&E. Governance Invest in board processes and systems; review board working practices with sub- committees to support key areas ensuring that an enlarged board is allowed in the Ethiopian context. Ensure proactive engagement of the Board in strategic planning processes and helping HFE with strategic engagement with relevant government ministries (e.g. FMOH, FMOE, etc.) Donors Donors should consider support of HFE’s revised strategy where it adds value to the health sector and where it can build capacity in key areas of HFE’s operations. Consider a more collaborative, cost-effective and streamlined mechanism for support to HFE – including joint evaluation. Donors can play a pro-active role in facilitating HFE’s efforts to introduce change and closer alignment with FMOH. AusAID should ensure that entities receiving AusAID funds (such as HFA), are required to assume responsibility for appropriate monitoring and TA of the organisations whom they represent. The USAID supported situation assessment would be a useful advocacy tool with FMOH to encourage incorporation of OF into the HSDP-IV. Consider strategies for scale-up and/or replication of current work related to OF AusAID Health Resource Facility xiv Managed by HLSP in association with IDSS
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Joint AusAID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Final report Area Recommendations identification, rehabilitation and referral for skilled delivery with the Health Extension Program The review team was also asked by AusAID to provide summary evaluation ratings against the criteria ratings framework, a summary of which is provided below. Table 3: Summary Evaluation Criteria Ratings Evaluation Criteria Rating (1-6) Explanation Relevance 5 HFE’s work in OF is vitally important and it is unlikely FMOH facilities will provide these services. A privately managed centre of excellence such as HFE fits into the emerging policy context which recognises added value of public/private partnerships. 18
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