This dissertation intends to contribute to improving sector-wide management and aid coordination in health. The dissertation objectives are: 1. To review the key issues related to sectoral management and aid coordination in the Mongolian health sector 2. To examine different frameworks and international experiences in implementing SWAp 3. To appraise likely options for implementing health SWAp in Mongolia 4. To propose a Road map to initiate the implementation of a SWAp in Mongolia
Table of Contents
1. Chapter One: Introduction and Methodology
1.1. Introduction
1.2. Aim and objectives of the study
1.3. Expected outputs
1.4. Intended audiences
1.5. Methodology and study limitations
1.5.1. Study framework and techniques
1.5.2. Literature search methodology and criteria
1.5.3. Information sources
1.5.3.1. Search procedures
1.5.4. Limitations of the study
1.6. Structure of the dissertation
1.7. Conclusion
2. Chapter Two: Problem Analysis
2.1. Introduction
2.2. Country information
2.3. Structure and function of the health sector
2.4. Problem web
2.5. Situation analysis
2.5.1. Policy framework
2.5.1.1. Millennium development goals and Economic growth support and poverty reduction strategy
2.5.1.2. Health sector master plan 2006-2015
2.5.1.3. Decentralization
2.5.1.4. Main challenges for the policy framework
2.5.2. Expenditure framework
2.5.2.1. Medium term expenditure framework
2.5.2.2. Health sector financing and resource allocation
2.5.2.3. Main challenges
2.5.3. Institutional framework
2.5.3.1. Organisational structure
2.5.3.2. Aid coordination mechanism
2.5.3.3. Main challenges
2.5.4. Capacity building in monitoring and evaluation
2.5.4.1. Main challenges
2.6. Conclusion
3. Chapter Three: International Experiences In SWAp
3.1. Introduction
3.2. SWAp definitions
3.2.1. Main elements of SWAps
3.3. History of SWAps
3.4. Different forms of SWAps
3.5. SWAps versus project aid
3.6. Government and donor perspectives
3.7. SWAps: key elements
3.7.1. Policy framework
3.7.2. Expenditure framework
3.7.3. Institutional development framework
3.7.4. Capacity development framework
3.8. SWAps and...
3.8.1. ...PRSP and MDGs
3.8.2. ...decentralisation
3.8.3. ...sector programme initiatives (GFATM AND GAVI etc)
3.9. Conclusion
4. Chapter Four: Feasibility Study And Option Appraisal To Implement SWAp In Mongolia
4.1. Introduction
4.2. SWAp stages: where are we now?
4.3. Feasibility assessment for SWAp implementation in mongolia
4.3.1. Feasibility analysis by a swap's 4 elements
4.3.1.1. Policy framework
4.3.1.2. Expenditure framework
4.3.1.3. Institutional framework
4.3.1.4. Capacity building
4.4. Option appraisal for the type of SWAp and its management
4.5. Conclusion
5. Chapter Five: Recommended strategy to implement SWAps
5.1. Introduction
5.2. The objectives and rationale
5.2.1. Policy framework
5.2.2. Expenditure framework
5.2.3. Institutional framework
5.2.4. Capacity building
5.3. Road map for SWAps
5.4. Coordination mechanism
5.5. Conclusion
Objectives & Research Focus
This dissertation examines the feasibility of implementing a Sector-Wide Approach (SWAp) within the Mongolian health sector to improve aid coordination and overall sector management. It aims to identify the root causes of current sector inefficiencies and propose a viable, structured roadmap for transition, drawing on international experiences and local institutional realities.
- Review of current sectoral management and aid coordination issues in Mongolia.
- Comparative analysis of international SWAp frameworks and lessons learned.
- Appraisal of strategic options for SWAp implementation tailored to the Mongolian context.
- Development of a detailed road map for initiating and coordinating SWAp processes.
Excerpt from the book
3.2. SWAp DEFINITIONS
Definitions vary from those that are focused, country-contextualized to those that are broad, hypothetical and principle-based that often vary between situations and partners (Sundewall et al, 2006).
Various authors and organizations describe SWAps from different perspectives that may explain SWAps’ non-prescriptive but process-oriented nature. Waddington (2004) emphasises SWAps’ role in management and capacity-building while Hutton and Tanner (2004), highlights eventual impacts of SWAps as stronger national leadership, strengthened country-wide management and health-sector coordination eventually contributing to meeting the health MDGs.
However, Cassels’s (1997) definition is comprehensive as it provides core elements, procedural aspects and ultimate goals.
..A sustained partnership, led by national authorities, involving different arms of government, groups in civil society and....donor agencies, with the goal of achieving improvements in people’s health and contributing to national human development objectives in the context of a coherent sector,......an appropriate institutional structure and national financing programme through a collaborative programme of work with established structures and processes for negotiating strategic and management issues, and reviewing sectoral performance against jointly agreed milestones and targets.” (p11)
The WHO (2000) definition underscores SWAp as a process rather than a rigid blueprint and highlights the principle of change overtime towards system development.
Summary of Chapters
Chapter One: Introduction and Methodology: This chapter outlines the research aims, objectives, and the explanatory analytical approach used to evaluate the feasibility of SWAps in Mongolia.
Chapter Two: Problem Analysis: This chapter provides an overview of the Mongolian health sector's structure and current challenges, using a 'problem web' to visualize systemic inefficiencies.
Chapter Three: International Experiences In SWAp: This chapter reviews global SWAp definitions, history, and the varied donor-government perspectives found in different international settings.
Chapter Four: Feasibility Study And Option Appraisal To Implement SWAp In Mongolia: This chapter assesses the current Mongolian health system against ideal SWAp criteria and evaluates different implementation options.
Chapter Five: Recommended strategy to implement SWAps: This chapter proposes a comprehensive road map and strategic activities for the Mongolian government to transition toward a sector-wide management approach.
Keywords
SWAp, Sector-Wide Approach, Mongolia, Health Sector Reform, Aid Coordination, Health Financing, Public Sector Management, Institutional Capacity, Policy Framework, Expenditure Framework, Poverty Reduction Strategy, PRSP, MDGs, Health Development, Donor Relations
Frequently Asked Questions
What is the core focus of this research?
The research focuses on assessing the feasibility of implementing a Sector-Wide Approach (SWAp) in the Mongolian health sector to move away from fragmented, project-based aid toward more unified, country-led management.
What are the primary thematic areas covered?
The core themes include health sector management, donor coordination, institutional capacity building, policy framework development, and the adaptation of international SWAp models to a transition economy.
What is the main objective of this study?
The primary goal is to provide a critical feasibility assessment and a practical road map for the Mongolian Ministry of Health to effectively implement a SWAp.
What methodology does the author employ?
The author uses an explanatory analytical approach based on an extensive literature review, secondary data analysis of health sector reports, and organizational analysis using the McKinsey 7-S framework.
What is addressed in the main body of the dissertation?
The main body systematically analyzes the current Mongolian context, compares it with international SWAp experiences, evaluates the readiness of the health system, and outlines specific strategic recommendations for implementation.
Which keywords best describe this work?
Key terms include SWAp, health sector reform, aid coordination, Mongolian health sector, institutional development, and capacity building.
Why is the "problem web" analysis important for Mongolia?
It highlights the interdependency of issues like fragmented systems, lack of trust in government procedures, and ineffective donor coordination, demonstrating why isolated solutions often fail.
How does the author evaluate the "readiness" of Mongolia for a SWAp?
The author uses a comparative feasibility matrix (Table 7) that contrasts ideal SWAp conditions with the current realities in Mongolia across policy, expenditure, and institutional frameworks.
What is the author's final recommendation?
The author concludes that while challenges remain, Mongolia is a promising candidate for a SWAp, provided that the government takes the lead in coordinating donor support within a structured, long-term master plan.
- Citation du texte
- Anar Ulikpan (Auteur), 2006, Implementing Health SWAp in Mongolia: From Aid Coordination to Sector Management, Munich, GRIN Verlag, https://www.grin.com/document/182226
