FY 2023/2024 BLJSR Meeting Report
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28-page comprehensive health sector review report documenting the annual backward-looking joint sector review process for FY 2023/2024. Contains detailed analysis of health sector performance, strategic planning validation, and governance assessment covering the transition from NST1/HSSP4 to NST2/HSSP5.
Report structure includes: - Implementation progress assessment of 2022-2023 BLJSR recommendations - Performance evaluation against 9 NST1/HSSP4 targets with MINECOFIN scoring methodology - Validation of Fifth Health Sector Strategic Plan (HSSP5) aligned with NST2 - Lessons learned and challenges identified across health system components - 24 strategic recommendations with responsible parties and timelines for FY 2025/26 - Strategic priorities and medium-term expenditure framework (USD 951.4 million for FY 2025-2026)
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Summary | ## Publication Information **Report Type:** Annual Health Sector Review Report **Publication Date:** December 2024 **Document Length:** 28 pages **Language:** English **ISBN/Report Number:** MOH-HSWG-BLJSR-2024-001 ## Executive Summary The FY 2023/2024 Backward-Looking Joint Health Sector Review represents a pivotal assessment marking the conclusion of Rwanda's First National Strategy for Transformation (NST1) and Fourth Health Sector Strategic Plan (HSSP4). This comprehensive review, conducted by the Health Sector Working Group with 162 multi-stakeholder participants, evaluates health sector performance, validates the new HSSP5, and establishes strategic priorities for the transition to NST2. ## Key Findings ### Performance Against Targets - **Achieved Indicators (≥100%):** Maternal mortality reduction (125%), health facility electricity access (100%), medical practitioner density (121.1%), midwife density (242.6%) - **Lagging Indicators (<50%):** Child stunting reduction (25.8%), under-5 mortality reduction (33.3%), nurse density (40.9%) - **Under Observation:** Modern contraceptive prevalence (66.7%), health facility water access (84%) ### Strategic Validation - Formal validation of HSSP5 (2024-2029) with 5 pillars, 24 strategic objectives, and 37 KPIs - Total investment requirement: USD 4.92 billion over 5 years - FY 2025-2026 budget: USD 951.4 million with 30% resource gap ## Strategic Recommendations The report presents **24 comprehensive recommendations** across key areas: - Digital health system strengthening (eBUZIMA rollout, HRTT training) - Maternal and child health improvements (facility-specific interventions, mentorship programs) - Workforce development ("4 by 4" strategy implementation) - Health financing sustainability (public-private partnerships, PBF optimization) - Technical working group functionality enhancement ## Meeting Details **Date:** December 9, 2024 **Venue:** Four Points by Sheraton, Kigali **Participants:** 162 stakeholders (government, development partners, NGOs, civil society) **Chairperson:** Permanent Secretary, Ministry of Health **Co-Chair:** Director of Health Office, USAID/Rwanda ## Document Structure 1. **Background and Methodology** (Pages 5-6) 2. **Implementation Progress Review** (Pages 7-13) 3. **NST1/HSSP4 Performance Assessment** (Pages 14-19) 4. **Lessons Learned and Challenges** (Pages 20-22) 5. **HSSP5 Validation** (Page 23) 6. **Strategic Recommendations** (Pages 24-27) 7. **Conclusion** (Page 28) ## Citation Rwanda Ministry of Health. (2024). *FY 2023/2024 Backward-Looking Joint Health Sector Review Meeting Report*. Kigali: Health Sector Working Group, Ministry of Health. |
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