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Yvonne Nkrumah - Accelerating Health Reforms through Collective Action. Experiences from East Africa

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Yvonne Nkrumah Accelerating Health Reforms through Collective Action. Experiences from East Africa
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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 countriesUganda, Tanzania and Kenya. It outlines, by chapter, each countrys 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.

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A WORLD BANK STUDY

Accelerating Health Reforms through Collective Action

Experiences from East Africa

Yvonne Nkrumah and Julia Mensah, Editors

2014 International Bank for Reconstruction and Development The World Bank - photo 1

2014 International Bank for Reconstruction and Development / The World Bank
1818 H Street NW, Washington DC 20433
Telephone: 202-473-1000; Internet: www.worldbank.org

Some rights reserved

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World Bank Studies are published to communicate the results of the Banks work to the development community with the least possible delay. The manuscript of this paper therefore has not been prepared in accordance with the procedures appropriate to formally edited texts.

This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries.

Nothing herein shall constitute or be considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved.

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This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO), http://creativecommons.org/licenses/by/3.0/igo. Under the Creative Commons Attribution license, you are free to copy, distribute, transmit and adapt this work, including for commercial purposes, under the following conditions:

AttributionPlease cite the work as follows: Nkrumah, Yvonne and Mensah, Julia, eds. 2014. Accelerating Health Reforms through Collective Action: Experiences from East Africa. World Bank Studies. Washington, DC: World Bank. doi:10.1596/978-1-4648-0287-4. License: Creative Commons Attribution CC BY 3.0 IGO

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ISBN (paper): 978-1-4648-0287-4
ISBN (electronic): 978-1-4648-0288-1
DOI: 10.1596/978-1-4648-0287-4

Library of Congress Cataloging-in-Publication Data has been requested.

Contents

Acknowledgments

About the Contributors

Abbreviations

Chapter 1

Background

Yvonne Nkrumah and Julia Mensah

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

Jacqueline Idusso, Joseph Mhando, and Eva Ombaka

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

Debra Gichio, Teresa Omondi, and Abel Nyakiongora

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

Emmanuel Higenyi, Jacqueline Idusso, and Robinah Kaitiritimba

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

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