Abstract
The discourse is on the Sector Wide Approach (SWAp) in health, a policy reform intervention by the World Health Organization, and focuses on Zimbabwe’s response, and the subsequent health policy framework. A SWAp is a government led partnership with donor agencies and the civil society, in the formulation, implementation, monitoring and evaluation of the health policy. The rationale is to systematically build the capacity of health delivery systems and structures, for the realization health policy objectives through effective and efficient utilization of collaboratively mobilized resources for the realization of sustainable development in health. Zimbabwe has responded to SWAps by adopting the WHO Country Cooperation Strategy (2008-2013), being implemented through the National Health Strategy (2009-2013). A collaborative approach involving the state and civil society is being pursued. Within this arrangement, the Ministry of Health and Child Welfare is leading the strategic and operational function, at all levels of society, with the donor community, through the civil society playing a supportive role particularly in areas which include HIV/AIDS, tuberculosis, malaria, water and sanitation, and maternal health. Coordination is done through the National Planning Forum, made up of the health ministry and the voluntary sector, and the Health Development Partners Coordination Group, made up of donor agencies in health, in line with the Zimbabwe United Nations Development Assistance Framework and the Interagency Humanitarian Coordination Mechanism. It was concluded that a framework has been put in place through which the SWAp is being pursued, towards systematic capacity building of Zimbabwe’s health sector.
Highlights
In a number of low-income countries, governments and donors are departing from traditional ways of operating by embarking on a new approach to reforming the health sector
A Sector Wide Approach (SWAp) is a sustained government-led partnership with donor agencies and the civil society in-which sector-wide interventions are applied to an expenditure framework and national implementation system for the health policy (Peters and Shiyan, 1998)
The discourse concluded that a Sector Wide Approach (SWAp) is a sustained government-led partnership with donor agencies and the civil society in-which sector-wide interventions are applied to an expenditure framework and national implementation system for the health policy
Summary
In a number of low-income countries, governments and donors are departing from traditional ways of operating by embarking on a new approach to reforming the health sector. The approach has changed the tools used to promote sector reforms and manage development assistance. It has raised new challenges in the implementation and coordination of the health policy, and provided new ways to deal with long-standing conflicts over priorities of values, technologies, and processes. The current discourse explains the SWAp, and its rationale in the health sector It explains the policy response and framework in Zimbabwe, to this emergent intervention that has come to characterise the majority of service delivery systems in Sub Saharan Africa, laying a foundation upon which future analysis and discourse may be pursued
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