Force Field Analysis

EDPs in Health Sector Development,MWR

Participants: ADRA, NRCS, GTZ, WHO, NFHP, DHOBardya, Salyan, Dolpa, Surkhat, Humla & RMS NPJ

Ideal state: Integrated sectoral plan, Single coordinating body, and single implementation/ monitoring system Restraining Forces -

+ Reinforcing Forces
Availability of technical support process management, change management Presence of RHCT Positive leading and coordination of RHD, DHO Available of need based resources (HR, logistics) Support in Gap identification, prioritization and address at local level Support to district annual/ periodic integrated work plan (in process) Initiation of programme based approach - Aid Effectiveness Joint programme monitoring tool Health service delivery network up to grass root level (FCHV) Focused to reached to un-reached people/Communities Quick response and action Recommendations:

All EDPs are not present in all 15 districts Parallel programme and structure of EDPs Different interest of different donor Conceptually EDPs are still not cleared and not have common platform for making common understanding Patch programmes Ill defined roles and responsibility of EDPs, private sector Duplication of programme and resources due to lacking of resource mapping Focused on project approach targets vs achievement

Endorsement of RHCT by MoHP SWAp at decentralized level Integrated Regional and District Health Sector Strategy and Plan Policy level intervention for effective SWAp implementation