HEALTH FOR PEACE
INITIATIVE

LESSONS FOR EFFECTIVE PARTNERSHIP DEVELOPMENT

February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		1
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February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		2
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CONCEPT
  • Commitment to address priority concerns of populations through health
  • Health as bridge linking countries for social and economic development within a peaceful environment
  • Framework for a Sub-regional Initiative
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		3
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BACKGROUND

The general health profile of the four countries is characterised by:

  • High infant & under-five mortality rates
  • High population growth & fertility rates
  • Low life expectancy
  • High prevalence of endemic communicable diseases (malaria, acute respiratory tract infections, diarrhoea, etc)
  • HIV/AIDS/ and other sexually transmitted infections, tuberculosis and meningitis
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		4
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HEALTH INDICATORS OF PARTICIPATING COUNTRIES
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		5
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GOAL & OBJECTIVE OF THE HEALTH FOR PEACE INITIATIVE

GOAL
  • Build peace in the Sub-region through promoting health
OBJECTIVES
  • Strengthen co-operation in health among countries
  • Improve coverage and effectiveness of targeted areas of co-operation
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		6
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FEATURES OF THE INITIATIVE (I)

Institutional Framework

  • Heads of States Level - Leadership, Political & Financial Support
  • Ministers of Health Level - Policy, Overall Co-ordination, Resource
  • Mobilisation & Agreed Plan of Action
  • Technical Officers Level - Implementation, Monitoring & Evaluation
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		7
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FEATURES OF THE INITIATIVE (II)

Responsibilities

  • The Gambia co-ordinates Roll Back Malaria (RBM) actions and activities
  • Guinea-Bissau co-ordinates national immunization days (NIDs)
  • Guinea (Conakry) co-ordinates management of epidemics and complex emergencies
  • Senegal co-ordinates monitoring of HIV/AIDS and other sexually transmitted infections (STIs)
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		8
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FEATURES OF THE INITIATIVE (III)
  • Overall co-ordination undertaken by Ministers of Health
  • Technical co-ordination through biannual meetings of technical officers
  • Evaluation and reporting on the progress and achievements through annual meetings of partners
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		9
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FEATURES OF THE INITIATIVE (IV)
  • Increasing involvement of NGOs, Private Sector & Research Institutions
  • WHO at all levels (Country, Region & Headquarters) providing support
  • UNICEF providing support
  • UNDP, World Bank, European Community and other Bilaterals actively engaged
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		10
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CROSS BORDER APPROACH (I)

ADVANTAGES

  • Improves health management information systems
  • Disease surveillance becomes more efficient
  • Strengthens common intervention strategies
  • Improves access to effective services by populations
  • Improves interpersonal relations between and among staff
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		11
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CROSS BORDER APPROACH (II)

CHALLENGES

  • Health Policies not harmonised
  • Different official languages
  • Different political systems
  • Inadequate country budgetary allocations
  • Sub-regional instability
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		12
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PROPOSED BUDGET
2000 - 2001
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		13
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PROGRESS TO DATE

PROGRESS
  • Simultaneous launching of NIDs by countries
  • Heads of State Summit in Dakar, Senegal, second quarter 2000
  • Roundtable Conference in Dakar, Senegal, second quarter, 2000
CONSTRAINTS
  • Difficulties in resource mobilisation
  • Different government systems
  • Instability in the Sub-region
  • Co-ordination mechanisms yet to be fully operational
February 2, 2000 By Hon. Abdoulie M Sallah
Secretary of State for Health, The Gambia
On behalf of the Sub-regional Initiative 		14
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