scholarly journals Governance Roles and Capacities of Ministries of Health: A Multidimensional Framework

Author(s):  
Kabir Sheikh ◽  
Veena Sriram ◽  
Benjamin Rouffy ◽  
Benjamin Lane ◽  
Agnes Soucat ◽  
...  

The lack of capacity for governance of Ministries of Health (MoHs) is frequently advanced as an explanation for health systems failures in low- and middle-income countries (LMICs). But do we understand what governance capacities MoHs should have? Existing frameworks have not fully captured the dynamic and contextually determined role of MoHs, and there are few frameworks that specifically define capacities for governance. We propose a multidimensional framework of capacities for governance by MoHs that encompasses both the "hard" (de jure, explicit and functional) and "soft" (de facto, tacit, and relational) dimensions of governance, and reflects the diversification of their mandates in the context of the Sustainable Development Goals (SDGs). Four case studies illustrate different aspects of the framework. We hope that the framework will have multiple potential benefits including benchmarking MoH governance capacities, identifying and helping analyze capacity gaps, and guiding strategies to strengthen capacity.

Author(s):  
Joy Belinda Nabukalu ◽  
James Avoka Asamani ◽  
Juliet Nabyonga-Orem

Background: The Millennium Development Goals (MDGs) availed opportunities for scaling up service coverage but called for stringent monitoring and evaluation (M&E) focusing mainly on MDG related programs. The Sustainable Development Goals 3 (SDGs) and the universal health coverage (UHC) agenda present a broader scope and require more sophisticated M&E systems. We assessed the readiness of low- and middle-income countries to monitor SDG 3. Methods: Employing mixed methods, we reviewed health sector M&E plans of 6 countries in the World Health Organization (WHO) Africa Region to assess the challenges to M&E, the indicator selection pattern and the extent of multisectoral collaboration. Qualitative data were analysed using content thematic analysis while quantitative data were analysed using Excel. Results: Challenges to monitoring SDG 3 include weak institutional capacity; fragmentation of M&E functions; inadequate domestic financing; inadequate data availability, dissemination and utilization of M&E products. The total number of indictors in the reviewed plans varied from 38 for Zimbabwe to 235 for Zanzibar. Sixty-nine percent of indicators for the Gambia and 89% for Zanzibar were not classified in any domain in the M&E results chain. Countries lay greater M&E emphasis on service delivery, health systems, maternal and child health as well as communicable diseases with a seeming neglect of the non-communicable diseases (NCDs). Inclusion of SDG 3 indicators only ranged from 48% for Zanzibar to 67% for Kenya. Although monitoring SDG 3 calls for multisectoral collaboration, consideration of the role of other sectors in the M&E plans was either absent or limited to the statistical departments. Conclusion: There are common challenges confronting M&E at county-level. Countries have omitted key indicators for monitoring components of the SDG 3 targets especially those on NCDs and injuries. The role of other sectors in monitoring SDG 3 targets is not adequately reflected. These could be bottlenecks to tracking progress towards SDG 3 if not addressed. Beyond providing compendium of indicators to guide countries, we advocate for a more binding minimum set of indicators for all countries to which they may add depending on their context. Ministries of Health (MoHs) should prioritise M&E as an important pillar for health service planning and implementation and not as an add-on activity.


2021 ◽  
Author(s):  
Håvard Futsæter

<p>MET Norway has had an open data policy for many years. A permissive open data license, and a freely accessible service through which to gain access to the dataset is the first step. However, the data is not useful before it is understood and used in decision-making.</p><p>MET Norway serves many user groups, many of which have very different needs for open meteorological data. To cater for the different user needs, MET Norway provides multiple distribution services. One of our most important open data data services is MET Norway Weather API, a global location based time series forecast service. (https://developer.yr.no/featured-products/forecast/)</p><p>MET Norway has recently joined the Digital Public Goods Alliance, to help reach the Sustainable Development Goals(SDG) (https://sdgs.un.org/goals)  by leveraging our MET Norway Weather API service as a digital public good.</p><p>“The Digital Public Goods Alliance is a multi-stakeholder initiative with a mission to accelerate the attainment of the sustainable development goals in low- and middle-income countries by facilitating the discovery, development, use of, and investment in digital public goods.” (https://digitalpublicgoods.net/about/)</p><p>Moving from open data to a digital public good has meant taking a more active part in identifying, exploring and understanding the needs that low -and middle-income countries have. The needs considered are both end-user needs and gaps/tools/competency needs across the value chain. And we are trying to find ways our data and services can help fill those needs in an operational sustainable way by co-creating applications built on top of our services.</p><p>In this presentation we will first describe our experience with serving open and free weather forecast data. Then describe the challenges in moving from open data to working with our data as an SDG.</p><p>The presentation will be focused both on user needs and on technical challenges connected to running a global freely available open data service.</p>


Author(s):  
Н.П. РЕЗНИКОВА ◽  
Г.С. АРТЕМЬЕВА ◽  
Д.В. КАЛЮГА

Представлены основные направления для поиска путей улучшения рейтинга Российской Федерации в международных статистических сопоставлениях в сфере электросвязи/ИКТ с учетом необходимости гармонизации разнообразных направлений деятельности, связанных с оценкой влияния электросвязи/ИКТ на достижение Целей устойчивого развития, а также с появлением Нового индекса Международного союза электросвязи (МСЭ) взамен Индекса развития ИКТ(IDI). OThe main directions for finding ways to improve the rating of the Russian Federation in international statistical comparisons in the field of telecommunications/ICT are presented, taking into account the need to harmonize various activities related to assessing the impact of telecommunications/ICTs on achieving the sustainable development goals, as well as the advent of the new International Telecommunication Union Index instead of the ICT Development Index (IDI).


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