Best practice principles for global health partnership activities at country level: report of the working group on global health partnerships

Best practice principles for global health partnership activities at country level: report of the working group on global health partnerships

Global health partnerships need to align and harmonise approaches to address global needs

This background paper for the High-Level Forum on the Health MDGs (Millennium Development Goals) examines how Global health partnerships (GHPs) can help scale up priority health interventions and investments. It argues that GHPs have played a major role in this. They have been instrumental in advocating for large-scale new financing, raising the profile of target diseases, and raising the profile of non-governmental stakeholders including NGOs (non-governmental organisations) and the private sector. The authors argue that the collective impact of GHPs has created a series of problems at country level, such as: poor coordination and duplication; high transaction costs from multiple initiatives; variable degrees of country ownership; and lack of alignment within country systems.

The authors conclude that without increased support to build health systems capacity, GHPs will not reach their full potential. They stress the need for more aligned and harmonised approaches. They recommend that GHPs should endorse and enact some best practice principles for country-level work; and should work with countries and other agencies to solve relatively simple problems at the same time as developing approaches to more challenging issues. They also recommend a regular, issue-focused global forum for GHPs, governments and donors to review principles, practice and progress. [adapted from author]