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The sector wide approach (SWAp) and its implication for health NGOs in developing countries : a case study of Kenya

Document type: mthesis
Download file(s): 185216 (650 KB)
Abstract: BACKGROUND: With the implementation of the Sector Wide Approach in donor funding and activities, NGOs are hanging in a precarious situation. This is especially so for those that used to receive project funding. With bilateral and multi lateral agreements, donors prefer to pool their funding according to government plans and expenditure frameworks. This can be counterproductive in health service delivery as it changes delivery of services to centralised priorities and resource allocation. This paper aims to point out the challenges envisioned and/or experienced by implementing countries as well as achievements with a regard of offering recommendations for successful implementation. GENERAL OBJECTIVE: is to examine the effect of SWAp in Kenya on health service planning and in particular on the role played by NGOs’. SPECIFIC OBJECTIVES: To determine the role played by NGOs’ and the state of health service delivery in developing countries since the introduction of SWAp in health planning and management; to establish how the SWAp approach has affected the role played by NGOs’ in planning and delivery of health services where they have been introduced; to draw lessons and offer practical recommendations on how implementation of SWAp can be used to improve planning, management and delivery of health services in Kenya based on study findings. METHODOLOGY: study design is a retrospective non intervention study. It is descriptive in nature with some comparative design using country examples to describe the situation since introduction of SWAp. As the SWAp process is still ongoing, the study will be looking at the trends over time. The data will be collected through literature review using the KIT library, government reports and online material from websites including PUBMED, ELDIS, LANCET, ODI, WHO and Google SCHOLAR. Related links will be followed where available and relevant. RESULTS: The study has come up with results indicating the implementation of SWAp analysis according to the five principles of Paris Declaration. There are efforts to engage NGOs in SWAp implementation although they could further be used to achieve the principles of ownership, alignment, harmonization, results based management and mutual accountability. CONCLUSION: SWAp can be used positively to engage NGOs in health service delivery. This will call for institutionalism of structures and modalities of partnering and future involvement. NGOs’ have a role to play in SWAp implementation especially when they realize they are an integral part of the country’s health system.
Authors: Anyango, O.J.
Country: Kenya
Category: Research
Department: Development Policy & Practice
Institute: KIT (Royal Tropical Institute)
Keywords: health services , non-governmental organizations
Language: eng
Organization: KIT - Royal Tropical Institute
PAGE: ix, 43
Year: 2007
Region: East Africa
Right: © 2007 Anyango
Subject: Health and Nutrition
Title: The sector wide approach (SWAp) and its implication for health NGOs in developing countries : a case study of Kenya
Training: Master in International Health (MIH)