By Adrienne Brown, World Health Organization
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Additional resources for Current Issues in Sector-wide Approaches for Health Development: Mozambique Case Study
Q planning: a great deal of emphasis has been placed on the preparation of sectoral plans of different kinds: what conclusions can be drawn about sectoral planning processes? Are sector programmes over-determined? Is there a risk that the focus on planning reduces flexibility and the need to adjust policies in the light of changing levels of performance? Do donors demand too much detail in preparing programmes work and operational plans? How much variation in planning processes is beginning to emerge between countries?
Both the Ministry itself and the donors are agreed that this is a major problem, although opinions vary on how to improve the situation. Everyone, including the MoH, sees it as thoroughly overstretched, and some donors expressed the opinion that it was already showing signs of cracking under the pressure, with too many tasks to carry out. One donor57 commented that, whilst the MoH was concentrating on developing a SWAp, the building blocks that had been achieved so far were falling apart because the Ministry could not attend to them.
Oxford University Press. World Bank 1994 Better Health in Africa, Washington DC: World Bank.