Accelerating Health Reforms through Collective Action : Experiences from East Africa.
- 1st ed.
- 1 online resource (136 pages)
- World Bank Studies .
- World Bank Studies .
Front Cover -- Title Page -- Copyright -- Contents -- Acknowledgments -- About the Contributors -- Abbreviations -- Chapter 1 Background -- Introduction -- Governance in PSM: A Crucial Role -- The Case for Collective Action -- Improving PSM Governance: The Initiative -- Why This Book? -- Outline of the Book -- Notes -- Chapter 2 Putting Down Roots -- Introduction -- Tanzania Country Context -- Key Health Issues and the Reform Agenda -- Key Challenges in the Pharmaceutical Sector -- Rationale for Setting up a Multistakeholder Coalition -- Multistakeholder Groups and Other Forms of Collaboration in Tanzania before 2010 -- Collaborations in the Health and Pharmaceutical Sectors -- Learning from Other Countries -- The Need for a Different Multistakeholder Approach in Tanzania -- From Dispersed Groups to Coalition -- Mapping the Stakeholders -- Identifying a Convener -- Clarifying Responsibilities -- Making the Coalition Work -- Lessons Learned -- Notes -- Chapter 3 Growing a Strong Trunk -- Introduction -- Kenya Country Context -- Rationale for Setting Up a Multistakeholder Coalition -- Moving the Reform Agenda Forward -- Nourishing and Sustaining the Coalition -- Mobilizing Resources -- Leadership -- Creating a Sense of Ownership -- Providing the Right Incentives -- Celebration and Acknowledgment of Shared Achievements -- Challenges and Lessons Learned -- Notes -- Chapter 4 Branching Out and Bearing Fruits -- Introduction -- The Ugandan Context -- Health Sector Hurdles and Opportunities -- The Pharmaceutical Subsector -- An Opportunity for Collaboration: The Existing Multistakeholder Landscape -- Working Together: Setting Priorities for Initial Steps -- Generating Evidence to Inform Policy -- Lessons Learned -- Notes -- Chapter 5 Epilogue -- Kenya: The Forum for Transparency and Accountability in Pharmaceutical Procurement. Tanzania: The Tanzania Multistakeholder Group on Pharmaceutical Procurement -- Uganda: The Medicines Transparency Alliance -- Looking Ahead -- Notes -- Appendix A Using a Multi-Stakeholder Approach to Improve Governance in Pharmaceutical Procurement -- Appendix B Cases of Mapping Outcomes: Improving Governance in Pharmaceutical Procurement and Supply Chain Management in Kenya, Tanzania, and Uganda (2013) -- Appendix C Pharmaceutical Procurement in Kenya, Tanzania, and Uganda: Key Findings, Best Practices, and Opportunities for Improvement (2010) -- Appendix D Code of Conduct for the Multistakeholder Group on Pharmaceutical Procurement in Tanzania -- Appendix E Client Satisfaction with Services in Uganda's Public Health Facilities: Summary of Study Findings (2013) -- Bibliography -- Boxes -- Figures -- Table -- Back Cover.
This publication briefly describes the processes and methodologies for building and sustaining multistakeholder coalition to drive reforms in the health sector. It is based on the experiences of three East African countries -- Uganda, Tanzania and Kenya. It outlines, by chapter, each country's experience in identifying, mobilizing, and coalescing key stakeholders to address governance bottlenecks in pharmaceutical procurement and supply chain management. It highlights challenges, successes as well as lessons learned to guide other countries.