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How the lack of coherence between sectoral plans contributed to policy question formulation in Mali

In 2014, the Mali Government was in the process of drafting a ten-year Plan for Sanitary and Social Development (PDDSS) 2014-2023. At that time, a review by the National Evaluation Platform (NEP) team of the draft PDDSS and of the Programme of Sanitary and Social Development III (PRODESS III), the five-year PDDSS programme revealed the following:

  • The target mortality rates were already achieved and the baseline information of several interventions and targets were not coherent between the PDDSS and PRODESS III.
  • The target population groups of the different health and nutrition programmes of the health sector were not harmonised.
  • The proposed intervention package in PDDSS did not seem to correspond with the ambition of the mortality reduction targets of the PDDSS.
    Confronted with this lack of coherence between the MPPA and sector-specific policies and plans, the relevant stakeholders decided to work towards a common and harmonised mortality reduction target which could be realistically achieved within the PDDSS time frame. Policy questions were formulated by the analysis team focusing on the PDDSS targets and the proposed intervention packages, and they were validated by the government stakeholders.
    To allow the use of the Lives Saved Tool, a modeling software which could provide findings in a relatively short time frame (six months), the finalisation of the PDDSS was postponed until 2015.
    The analyses were carried out within the promised time frame and results were available on time to redefine the PDDSS targets and refine the intervention packages, through the mid-year review process of the PRODESS III.

This example is based on the experience of the National Evaluation Platforms (NEP) project, by Johns Hopkins University.