Mar
22

UQ – Communication and Social change

JTA’s IT Manager, Andrew Erbs, had the pleasure of speaking to undergraduate students studying “Communication for Social Change” within the School of Journalism and Communication at the University of Queensland in March 2012.

Providing an industry perspective, the lecture focussed on the application of ICT infrastructure for increasing and improving communication capacity within the health sector, specifically in the context of development projects in the South Pacific region, with real world examples of the impact of satellite and radio infrastructure on service delivery.

To access the presentation follow this link – http://prezi.com/ydrtngx7zfde/medinet-2010-2012/?auth_key=c32b05eb36e39f39b9f31996d19951e860991f3b

For more information on the University of Queensland’s Centre for Communication and Social Change see here – http://www.uq.edu.au/ccsc/

Jul
25

New Fiji Health Sector Program Ready to Go!

We are delighted to have signed a contract with AusAID to support the new Fiji Health Sector Support Program for the next 5 years.  We have been working closely with the Fiji Ministry of Health and AusAID since 2002, and have shared many of their challenges, hopes and successes in health sector improvement.  In this time, we have developed many enduring friendships and there is much still to be done. There is nothing more nerve wracking than to have to tender for a new program, when you really care about the country and the program and want nothing more than to be able to continue the important unfinished work.  There are no guarantees in this world, and we knew that we would have to work hard to convince the Ministry of Health and AusAID that we had the vision and the energy to support the new program. Happily, we were able to do so.

The goal of the Fiji Health Sector Support Program is to support the Ministry’s capacity to reduce infant mortality; improve maternal health; and prevent and manage diabetes. To achieve this, the program’s key objectives are to : 1) institutionalise a safe motherhood program; 2) institutionalise a “healthy child” program; 3) improve the prevention and management of diabetes and hypertension; 4) revitalize an effective and sustainable network of village/community health workers; and 5) strengthen key components of the health system to support decentralized service delivery.

To support the Ministry to achieve these goals, we have a great team for the Program, led by Dr Rosa Sa’aga Banuvae, a Samoan born, long time Fiji resident paediatrician, who has worked both with the Ministry of Health  (from grass roots to teaching hospital levels) and with a range of Pacific regional organizations.  She will be supported by a highly experienced technical team of technical facilitators led by Dr Asinate Buladuadua.  Dr Buladuadua will be responsible for Public Health Information and M&E, Kylie Jenkins for Infant & Child Health, Mereani Tukana for  Safe Motherhood & Maternal Health, Ateca Lepper for Primary Health / Community Mobilisation and Dr Margaret Cornelius for Diabetes Prevention & Management.  We are delighted to have included a Fiji Young Professional on our team,  Aminiasi Mucunabitu who will support M&E.  The technical team will be supported by two external mentors, Don Lewis and Clare Wheelan.

Our capable administrative team in Fiji will be led by Senior Program Administrator, Peter Vanderwal, who will be supported in country by our long serving office manager Va Nailele.

The mobilization team has been led by Senior Program Manager, Katrina Mills and supported by  Enkhee Lunden, who will backstop the Program from Brisbane.

The Program will kick off on 18 July, and Executive Director, International Development, Brendon Douglas and I will travel to Fiji to work with the team to get it off to a great start.  A Program launch is planned for August.

We see this as a great responsibility and opportunity and we thank AusAID and Fiji for their confidence and look forward to working to deliver a responsive and flexible program of support to Fiji, that targets key health outcomes.

Jul
07

Australian Leadership Awards Fellowship Program to Support Public Private Partnerships for Social Sector Development in Mongolia

We are very excited to have been awarded an Australian Leadership Award to foster an understanding amongst senior Mongolian leaders of the potential for health sector PPPs, particularly in the South Gobi region, together with the Mongolian Centre for Development Studies and the University of Queensland’s Centre for Social Responsibility in Mining.

This builds on our work over the past 18 months with a range of partners in Mongolia, around mining developments in the South Gobi.  Most mining operations in Mongolia are located in some of the most remote and inaccessible parts of the country and draw their workforce from across the nation and other countries such as China. These remote local communities are generally characterised by poor health and living conditions and limited access to quality health services in these remote areas. The local communities will experience great change with the development of a mining operation in their area.  While they will gain increased access to health, education and other infrastructure and employment opportunities, they will also experience social, cultural and environmental changes that the mines bring.  Migration into mining areas may result in crowded settlements with poor access to services, low levels of sanitation, and inadequate infrastructure.

There are multiple mining operations in the South Gobi and partnerships with the mining companies offer an immediate opportunity for collaboration and health system strengthening to mitigate the impacts of the mining operations. 

The Mongolian delegation will include the Parliament of Mongolia, Ministry of Health, Ministry of Minerals and Energy, Ministry of Social Welfare and Labour, Ministry of Finance, Southern Regional Development Council,   Umnugobi Aimag, Khanbogd Soum, and the Responsible Mining Initiative. Representatives of major mining companies will also attend, as well as World Bank and Asian Development Bank.

The program will enable participants to:

  1. Develop a clear understanding of PPPs and their potential application in the resource sector in Mongolia.
  2. Use a case study of the Oyu Tolgoi mine for the development of a community health, safety and security program.
  3. Experience how Australian manages the impact of multiple mines in a regional location.
  4. Develop an approach to a health sector PPP for the South Gobi region of Mongolia.
  5. Set up a  working group and network for future collaboration upon return.

This is pivotal time in Mongolia, with mining developments poised to double GDP and provide significant change to the social fabric of the Southern Gobi population. Proactive government collaboration and coordination of mining sector impacts and mobilizing mines to support a systematic strengthening of health responses is a social imperative. This program has the potential to influence governments’ policy and ensure an improved service delivery response to communities in the South Gobi.

 

Jul
04

Papua New Guinea Health: Learning From History

I am writing this blog to introduce a soon to be released focus issue of the Papua New Guinea Medical Journal (PNGMJ) on PNG’s Health Systems, which I co-edited with my old friend and colleague, Dr Maxine Whittaker, Professor of International Health, at the University of Queensland. In this volume, we and others review health sector experiences of the last 10–15 years in PNG. The achievements and lessons of the recent past can assist in guiding the future of the health sector and provide some leads on where, investments should be made in order to improve the health outcomes.

Perhaps the most fundamental task of health services is to prevent unnecessary deaths. Maternal mortality is extremely susceptible to the availability and utilisation of health services. The poor state of maternal health statistics is a proxy for the poor state of the health system.

There is clear and abundant evidence that, if a basic package of health intervention is delivered, health will improve. There is no quick fix. PNG’s health outcomes will improve with a systematic focus on getting the basics in place. These are:

1.Effective interventions for main causes of morbidity and mortality; where and when required.

2.Skilled health workers at the point of service who are able to provide those interventions.

3.Essential logistical elements to enable the health worker to provide effective intervention.

4.Information, education and communications, and other health promotion initiatives and efforts directed at communities—in order to obtain their cooperation and acceptance of the interventions; and to support and empower their engagement in healthy behaviours.

5.Population coverage.

The volume also documents a range of initiatives and reforms, around planning, financing, donor support through a Sector Wide Approach (SWAp), and the Provincial Health Authorities Act (PHAA) to name a few. It is important to remember that such reforms are means and not ends. The SWAp is a way of harmonizing development assistance. If the proceeds of the SWAp are not directed towards priority interventions, which will deliver the greatest health gain, it will not have the desired effect. Similarly, the PHAA provides an environment and opportunities to address barriers to service delivery, but will not miraculously improve performance outcomes if interventions are not implemented and the desired coverage of health interventions are not reached.

I encourage all of you who are working in PNG to read this issue of the PNGMJ and take the time to reflect on the past, so that we can learn from it and support the PNG health sector in a long term systematic approach to get the basics in place.

May
26

Projects come and go-Development continues

Last week I was in Geneva at the World Health Assembly, and ran into my old friend Palanitina Toelupe the CEO for Health in Samoa. There are few things more heartwarming than meeting old friends from the Pacific – the greetings are genuine and warm, and the affections stemming from relationships spanning years run deep. We took the time to have breakfast on the following day and to update each other on our lives and families and to reminisce about old times on the Samoa Health Project which ran from 2001 to 2007. Projects start and finish – but the development process in countries continues. It is immensely rewarding to hear that many of the initiatives supported by the Samoa Health Project have been continued and have been further developed by the Ministry since the project finished. Best of all was her comment – ” You and Gillan told us that one day staff would be walking around with their heads held high, proud to be a member of the Ministry of Health. That has really happened now.”

Mar
30

Best practice bubble bursts – reality finally strikes!

Have you read the Development Policy Blog today by Richard Curtain?  If you haven’t please do.  It is music to my ears.  He reviews two papers, one on fragile states and one on implementation failure. These papers expose the folly of forcing western “best practise” models on  systems that are barely operating, and could never hope to attain even “good enough”  practise.  How often have we borne witness to development consultants and agencies exhorting countries to adopt best practice organisational forms and applying pressure  to encourage the hasty introduction of changes, overloading the fragile systems, and  causing local structures to fail to cope?  

In my experience – slow and steady wins the race.   There are no silver bullets.

In our paper “Working together for a better future”, soon to be published in the PNG Medical Journal, Maxine Whittaker and I suggest that we need to “Take time to gather up the past so that you will be able to draw  from your experiences and invest them in the future” (Jim Rohn).  Home grown solutions need to be given time to emerge and a stronger focus on getting the basics in place is a better bet than creating  organisational  forms that look good but don’t deliver .

Click here to view Richard Curtin’s Development Policy blog  http://devpolicy.org/confronting-capability-traps/

To view Jane Thomason’s and Maxine Whittaker’s paper click here   Working together for a better future

Mar
29

The importance of Global Integrity

As Australian businesses move into newly emerging markets, we are challenged to think about how concepts of ethical governance can be translated into different cultural, economic and political arenas.  

Integrity in the human context means adherence to consistent moral and ethical principles – no matter the setting.By extension, to act with global integrity is to conduct your business according to consistent moral and ethical principles – no matter what the setting. There are two aspects to global integrity: global business practice and corporate social responsibility.  Ethical business practice is guided by a number of global frameworks including The UN Global Compact and the Global Reporting Initiative. Corporate social responsibility is a form of corporate self-regulation  that encompasses the impact of businesses on the environment and communities, and has a positive dimension of encouraging community growth and development. The great Chinese philosopher Confucius said: ‘If a man remembers what is right at the sign of profit, is ready to lay down his life in the face of danger and does not forget sentiments he has repeated all his life when he has been in straitened circumstances for a long time, he may be said to be a complete man.’Global integrity is about all of us being that complete person – wherever we are in the world. Global integrity is about how you and I behave: every day, everywhere.

Mar
09

Harnessing Mining for Social Development

Today’s Development Policy Blog, posted comments on the 2011 Australian Aid Review from Bob McMullan,  former  Parliamentary Secretary for International Development,  from an  article published in the East Asia Forum. In commenting on relevant areas of Australian expertise to Africa, he reports that representatives of African countries,  were keen to add mining. I was pleased to see mining identified, and hope that this includes planning for long term social benefits, in partnership with mining companies. This is an area currently being explored by DFID on “Potential of mining PPPs to strengthen health systems and extend health services to underserved populations” and the ADB in PNG have been exploring this area in the HIV in Rural Enclaves Program. Our own work with the mining sector in PNG, Philippines and Mongolia strengthens my belief that the mining sector can be an important and valuable partner in development.  In our attached discussion paper on how to harness the mining sector to generate social benefits to resource poor communities, Matthew Hancock and I, explore how this might be done in PNG.  So we encourage Australia to look at how to convert economic benefits of mining into long term social benefit, in Africa, and elsewhere where the extractive industries are working among impoverished communities.

Please follow the link to view the discussion paper http://devpolicy.anu.edu.au/publications/

Feb
25

New Donors – China – Africa Health Cooperation

On February 11th – 12th, I was an invited speaker at the Second Roundtable on China Africa Health Collaboration, and the official launch of “China’s Alliance for South-South Health Cooperation Research” in Beijing.  The meeting was organised by the Institute for Global Health of Peking University and the China Institute of International Studies.  

It was quite an extraordinary event, and had extremely high level Chinese and international participation, including an opening message from Dr Margaret Chan the Director-General of The World Health Organisation.  The Chinese government was represented with  Vice Ministerial participation from the Ministry of Foreign Affairs, Commerce, National Population and Family Planning Commission, as well as the Minister for Health. 

The meeting was attended by Chinese health, academic and research organisations, as well as large private sector enterprises.  International attendees included UN agencies, WHO, DFID, USAID, Cordaid,  World Bank, Gates Foundation and GAVI. African countries represented included Liberia, Ethiopia and Tanzania. 

The two day program covered the history of China-Africa health cooperation over the past 50 years. Many may be surprised about the volume and range of assistance China has provided to various African countries, both through government and private sector channels. 

The session on “Opportunities and challenges of China-Africa health collaboration”, reviewed the history, provided a candid analysis of the challenges and discussed some of the issues for China to consider in future support to health in Africa.  The session on “China’s contributions in helping Africa achieve the Millennium Development Goals” outlined significant programs of cooperation particularly in maternal health and malaria control.  A number of African countries presented on their collaborations with China in MDG related programs. 

With very significant private sector operations in Africa, the session on  “ Contributions on South-South health collaboration through Public-Private Partnership and Corporate social responsibility” provided a clear  vision of how to improve the participation of   Chinese enterprises and societies in health aid in Africa    by the China Institute of International Studies, discussions on the contribution and issues for the Chinese pharmaceutical sector and some case studies on how Chinese mining companies could consider their corporate social responsibility for broader health improvement through Public Private Partnerships. 

With several significant development partners in attendance, the session on ”Approaches and strategies of multilateral collaboration in health” provided a forum for dialogue between the “old donors” and China, on ways to improve their cooperation and collaboration in health in Africa.       

Some take home messages for me were (i) the willingness and interest in China to strengthen its contribution to health in Africa, (ii) a strong focus on South-South collaboration, but also an interest in including “Northern” partners, to benefit from their perspectives and experience; (iii) keen interest in encouraging the Chinese private sector to strengthen their corporate social responsibility programs; and (iv) mutual interest from China and “old donors” in finding ways to cooperate more closely in their China – Africa health programs.                                                

Congratulations to Dr Lucy Chen and her team from the Global Health Institute and the  China Institute of International Studies for convening such a high quality event, and for the launch of  China’s Alliance for South-South Health Cooperation Research.           

               

Feb
21

DOUBLING AUSTRALIAN AID CONFERENCE

On Monday 7 February, I was an invited panellist at the conference on Doubling Australia’s Aid Program, convened by the Development Policy Centre of the Crawford School of the Australian National University.  The conference  registrations were so popular, that conveners had to turn people away.  

The scene for the conference  was set by Peter Baxter, Director General, AusAID  who opened with  a very focussed presentation on the challenges to AusAID in  managing the doubling of the aid budget.  He outlined initiatives already underway to prepare the agency for the challenges  ahead.  Among other issues, he observed that with more money will come more scrutiny, and emphasised the role of the aid review in assisting him to meet these challenges.  The aid review team, led by Sandy Holloway, were present for the whole day.  With the higher aid volumes, Mr Baxter noted the expected change to fewer, larger more strategic activities.  He emphasised the importance of NGOs and multilaterals to the future delivery of the aid program.  He also highlighted the new modalities and the reduction in the proportion of the aid program being handled by managing contractors having reduced from 41% in 2006  to  22% in 2010.  Underlying his comments was  an increasing emphasis on improving performance measurement and value for money in the aid program. 

Steven Howes provided the latest thinking on aid effectiveness and distilled it into three considerations (i) the quality of the recipient; (ii) the quality of the donor and (iii) the interaction between the two. Given the weakness of the evidence base – Howes called for greater use of independent evaluation.  His comment  “Find out what works and stick to it”  had resonance with me. 

A range of stimulating presentations and parallel sessions followed.  Highlights included a presentation by Sean Burges  on “new donors” such as China, India and Brazil and the ways in which they are changing the development landscape and consideration of “trilateral programming”, where “old donors”, “new donors” and recipient countries establish greater cooperation in their development programming. 

Simon Feeny presented an interesting paper challenging some of the “received wisdom” about too much aid going to the Pacific.    He provided an analysis  which suggested that, other than small Micronesian countries and the Solomon Islands,  other Pacific countries like PNG, Samoa, Fiji and Vanuatu were nowhere near the point of diminishing returns.  He countered the common arguments around absorptive  capacity constraints by saying – where capacity is poor (i) build it and (ii) until it is built, work around it by direct provision of service.  Satish Chand also presented a fascinating analysis of where Australia’s aid goes, and found correlations with (among other things) distance from Canberra and where US aid is given. 

It was a great day and a benchmark for high quality debate and dialogue around Australia’s development program. Congratulations to Steven Howes and Matt Morris and the rest of the team. Long overdue. 

My contribution to the wrap up Panel discussion is attached to this blog, in case you are interested.    

The papers were of high quality and great relevance to current aid debates.  All papers, presentations and videos are  up on the ANU  website and I encourage you to look at them.  http://www.crawford.anu.edu.au/media/policy_forum/.

Jane Thomason Presentation

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