" In the driver's seat" : the Health Sector Strategic Master Plan as an instrument for aid coordination in Mongolia

Ulikpan, Anar, Narula, Indermohan, Malik, Asmat and Hill, Peter (2014) " In the driver's seat" : the Health Sector Strategic Master Plan as an instrument for aid coordination in Mongolia. Globalization and Health, 10 1: 1-10. doi:10.1186/1744-8603-10-23

Author Ulikpan, Anar
Narula, Indermohan
Malik, Asmat
Hill, Peter
Title " In the driver's seat" : the Health Sector Strategic Master Plan as an instrument for aid coordination in Mongolia
Journal name Globalization and Health   Check publisher's open access policy
ISSN 1744-8603
Publication date 2014-04-03
Year available 2014
Sub-type Article (original research)
DOI 10.1186/1744-8603-10-23
Open Access Status DOI
Volume 10
Issue 1
Start page 1
End page 10
Total pages 10
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Abstract In 2005, the Ministry of Health (MoH) in Mongolia initiated the process of developing its Health Sector Strategic Master Plan (HSSMP), using a wide-ranging consultative process, driven by the MoH, and requiring participation from all levels of health facilities, other ministries, donor agencies and NGOs. Among other objectives, the MoH sought to coordinate the disparate inputs from key donors through the HSSMP, aligning them with the Plan's structure. This research explores the extent to which the HSSMP process served as a mechanism for effective aid coordination while promoting ownership and capacity building and the lessons learned for the wider international development community. The study is based on document review, key-informant interviews and authors' experience and participation in the MoH planning processes. The HSSMP process improved alignment and harmonisation. It enabled a better local understanding of the benefits of aid coordination, and the recognition that aid coordination as not only a mere administrative task, but a strategic step towards comprehensive management of both domestic and external resources. The process was not challenge free; the fractious political environment, the frequent turnover of key MoH staff, the resistance of some donors towards MoH scrutiny over their programmes and the dismantling of the central coordination and return of seconded staff following completion of the HSSMP, has slowed the pace of reform. Despite the challenges, the approach resulted in positive outcomes in the areas of ownership and better aid coordination, with HSSMP development emphasising ownership and capacity building. This contrasted with the usual outcomes focus, and neglect of the capacity building learning processes and structural and policy changes needed to ensure sustainable change. The largest and most influential programmes in the health sector are now largely aligned with HSSMP strategies, enabling the MoH to utilize these opportunities to optimise the HSSMP outcomes. The lessons for Ministries of Health in similar Post-Soviet countries--or other emerging economies where government capacity and local policy processes are relatively strong--are clear: the development of solid governance and technical infrastructure in terms of planning and evaluation provide a solid structure for donor coordination and insure against local political change.
Keyword Public, Environmental & Occupational Health
Public, Environmental & Occupational Health
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article # 23

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
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