Impact of the regional health The perception or reality of the regional Current regional health programs have been poor in demonstrating impact program on country-level health health program failing to achieve its at the country with inadequate monitoring and evaluation systems in outcomes is not demonstrated. objectives. place. Demonstrating the impact of regional interventions will continue to be difficult, therefore design process will place a strong emphasis on Decreased investment in regional health the development of appropriate incentives, monitoring and evaluation programs in the future. systems and accountability mechanisms to track progress. Fiduciary: Is there a risk that funds will not be used for the intended purpose or will not be properly managed by a recipient individual, organisation or Australia’s institution? If so, what level of impact might this loss of funds have both on reputation and in terms of achieving objectives? Misuse of funds by key partners Decreased reputation of implementing This risk will be mitigated through capacity assessments of all new partners with donors and Pacific partner systems to identify such risks and build capacity to avoid the countries. potential for mismanagement of funds. Decreased trust by Australian government and public in the Department’s ability to prevent misuse of funds. Decreased investment in regional health programs in the future. Reputation: Could any aspect of the implementation of this investment potentially cause damage to the reputation of the Australian Government? If so, what level of impact might this have? Fall-out due to activities that are Decreased reputation of the Australian Design processes will need to clearly assess current programs as to what no longer funded Government in the Pacific and amongst activities have not shown sufficient impact and should no longer be development partners Australia. supported by The rationale for such decisions will need to be proactively communicated to partners with supporting evidence and Australia’s explanation of the rationale for future investments (as per this delivery strategy). Technical capacity in the Gaps in essential health The program will need significant practical health expertise to manage Department services/functions undermine and deliver. The Pacific Division has recently increased its senior health improvement in health outcomes. specialist team to which will assist in in supporting transition from the existing program to the new program. The Health Resource Facility
Impact of the regional health program on country-level health outcomes is not demonstrated. The perception or reality of the regional health program failing to achieve its objectives. Decreased investment in regional health programs in the future. Current regional health programs have been poor in demonstrating impact at the country with inadequate monitoring and evaluation systems in place. Demonstrating the impact of regional interventions will continue to be difficult, therefore design process will place a strong emphasis on the development of appropriate incentives, monitoring and evaluation systems and accountability mechanisms to track progress. Fiduciary: Is there a risk that funds will not be used for the intended purpose or will not be properly managed by a recipient individual, organisation or institution? If so, what level of impact might this loss of funds have both on Australia’s reputation and in terms of achieving objectives? Misuse of funds by key partners Decreased reputation of implementing partners with donors and Pacific countries. Decreased trust by Australian government and public in the Department’s ability to prevent misuse of funds. Decreased investment in regional health programs in the future. This risk will be mitigated through capacity assessments of all new partner systems to identify such risks and build capacity to avoid the potential for mismanagement of funds. Reputation: Could any aspect of the implementation of this investment potentially cause damage to the reputation of the Australian Government? If so, what level of impact might this have? Fall-out due to activities that are no longer funded Decreased reputation of the Australian Government in the Pacific and amongst development partners Design processes will need to clearly assess current programs as to what activities have not shown sufficient impact and should no longer be supported by Australia. The rationale for such decisions will need to be proactively communicated to partners with supporting evidence and explanation of the rationale for Australia’s future investments (as per this delivery strategy). Technical capacity in the Department Gaps in essential health services/functions undermine improvement in health outcomes. The program will need significant practical health expertise to manage and deliver. The Pacific Division has recently increased its senior health specialist team to which will assist in in supporting transition from the existing program to the new program. The Health Resource Facility