GHC Working Group by yaoyufang


                                  Inter-Agency Standing Committee

                               Health Cluster
                                     16 November 2009
                                     Meeting Summary
                         Global Health Cluster (GHC) Working Group

In attendance: CARE (Janet Meyers), ERA (Hozaifa Aboulfoutoh), GHC Secretariat (Emma
Fitzpatrick, Erin Kenney and Linda Larsson), IOM (Nenette Motus), Merlin (Gillian O'Connell),
SAVE UK (Chris Lewis), UNHCR (Hervé Isambert), UNICEF (Edith Cheung, Anne Golaz),
UNFPA (Wilma Doedens), WHO (Rudi Coninx, Patricia Kormoss and Nevio Zagaria)

1. Change in WHO representation to the WG.

Due to the restructuring of the Health Action in Crises (HAC) cluster the WHO representation to
the Working Group (WG) will change.
• Nevio Zagaria will move to the new Strategy, Policy and Technical Development unit in the
    new Strategy, Policy and Resource Management (SPR) department in HAC. He will,
    therefore, not continue on the Working Group.
• Rudi Coninx and Patricia Kormoss will continue to represent WHO in the WG.

2. Co-chairs in 2010

•   Gillian O'Connell, Merlin, is willing to continue as co-chair but encouraged other NGO
    representatives who were interested to step forward. IMC, Merlin and SAVE have been co-
    chairing the different working groups since the start of the GHC.
•   To allow continuity for the group, it was suggested that twelve months should be a minimum
    term for the co-chair. The co-chairs will change on rotating basis with a six month overlap:
    one co-chair to make their seat available every six months.
•   It was emphasised that it would be useful for the group to have a co-chair from WHO.
•   It was suggested that Patricia Kormoss replace Nevio Zagaria for 2010 and Gillian O'Connell
    continue to chair until the next GHC meeting in June 2010.

ACTION: Gillian O'Connell to continue as co-chair until next GHC meeting. Patricia Kormoss
to replace Nevio Zagaria as co-chair for one year.

3. Key Achievements and Challenges faced in 2009

Challenge: Support two regional HCC training courses in the second half of 2009; . Ensure that
all HCC trainings consistently use standard selection criteria, curriculum and assessment of
candidates;. Make available GHC resource persons. Translate HCC training materials.
Re: Health Cluster Coordinator trainings

The objective to organize three trainings during 2009 was reached.
• Two Health Cluster Coordinator (HCC) trainings have taken place in the second half of 2009:
   one in French with a focus on the AFRO region and one in English with a focus on the
   EMRO region. A total of 32 persons have been trained out of which 7 were from NGOs and
   1 was from a UN agency. The trainings were organized in collaboration with the WHO's
   EMRO and AFRO regions. (One additional training course was organized in March 2009
   with focus on the PAHO region).
• All the acting HCCs, the majority of the Emergency and Humanitarian Action (EHA) focal
   points that are acting in dual roles and co-cluster coordinators have now been trained. An
   additional HCC training course is planned, focusing on these regions, for early 2010, in order
   to ensure all EHA focal points with health cluster responsibilities will be trained.

Re: Standardized training

A standardized training package which includes learning objectives, key messages and
standardized presentations for each session was developed.
• The learning objectives were circulated to the group in June/July for comments. Feedback
    given at the June GHC meeting was taken into consideration for review and revision.
• The six Tri-cluster and Health cluster trainings have all contributed to the development of the
    training package but it might be needed to be developed further as the content of the training
    evolves. The suggestion is to review the package during 2010.
• There is a need for consistency between the different clusters' coordinator trainings. The
    standardized training package should be shared and discussed with the other clusters.

Re: Future trainings and capacity building efforts

The Humanitarian Reform and the cluster have evolved and the trained coordinators should be
updated. Questions were raised as to how to give the trained HCCs more training; deciding what
further capacity building exercises should be developed; how performance should be measured.
• It was proposed to seek buy-in from UN agencies to send participants and facilitators from
    other agencies.
• It was noted that GHC has reached out to partners for participants and for resource people but
    few have stepped forward this year.
• There was a suggestion to co-organize an HCC training with an NGO.
• The GHC would be more in control if the trainings were organized on a global level instead
    of regional level. However, it is important to engage the regions and have their endorsement
    on the development of the course and the selection of the candidates, as this will facilitate
    recruitment for deployment.
• It was suggested to create a list of potential facilitators from partner organizations, who can
    be updated on the progress of the planning and be asked on short notice to help facilitate
    trainings and workshops.
• It was noted that HCCs deployed to the field are not receiving any formal briefing in Geneva
    before they take up their position as coordinator.
• There was a suggestion to create a reference library within WHO for use by personnel when
    taking up relevant positions.
• There is a need for capacity building/updating of knowledge for trained HCCs, to ensure
    current HCC are familiar with the developments within the cluster.
•   There are some existing measurable indicators based on the ten objectives of the cluster.
    Make it clear in the training that the HCC will be measured on these indicators.
•   It was suggested to create a short HC bulletin with a short update on the current trainings,
    contacts and cluster material.

Challenge: Contribute to the development of and send resource persons to OCHA-led sub-
regional and country workshops of heads of agencies
• NZ contributed on behalf of the GHC to the OCHA training in Cairo in June. The OCHA
    trainings are currently not taking place and therefore GHC has not been involved since June.

Challenge: Conduct ToT of senior staff of GHC partners (field, regional and HQ staff including
WHO) on Health Cluster Guide, IRA, HeRAMS and HINTS to establish a core group of GHC
trainers. Using this core group of GHC trainers, conduct country training sessions for health
cluster partners' health staff, including MoH, on the health cluster and the local adaptation and
field use of GHC tools
• The Training of Trainers was changed to a workshop to draw up guidelines and
     recommendations for the dissemination of the tools and for ensuring the use of the tools. The
     intended participants are senior staff at HQ and country level who are responsible for needs
     assessments and M&E who will be using the tools and teaching others how to use them.
• Next year ToTs needs to be carried out for a more general group.

Challenge: Provide technical support for the use of the IRA, HeRAMS and HINTS in at least 4
humanitarian situations.
• The initial version of the HERAMs tool has been used in Darfur and the new user-friendly
   data entry tool will be implemented in the same region.
• During the inter-agency country mission to Pakistan, a workshop was organized for cluster
   partners on the cluster approach and the tools were briefly presented.

Challenge: Promote GHC indicators in the Sphere revision
• Will be further discussed during the tools workshop.

Challenge: Produce a peer-reviewed selection of suggested health sub-sector assessment tools
with documented effective field utilization
• Due to human resource and financial constraints the peer review has not been prioritized, the
    list would have aimed to give an overview of the preferred tools to be used for assessing sub

Challenge: Officially launch HCG and tools. Establish dissemination plan. Arrange transport as
• The guide was officially launched at ECOSOC in July.
• A dissemination plan with input by the WG members was created.
• The Health Cluster Guide was finalised and has been available online since early October.
    The Guide will be delivered before Christmas. The Guide was printed in 4500 copies in
    English and partners have sent in their requests for copies.
• The Guide has been translated into French and is currently with the layout firm. The French
    version will be printed and disseminated in early 2010.
Challenge: Conduct 2 country missions to find solutions to context specific cluster challenges, on
request of country health cluster and/or RC/HC and/or WHO regional offices
• Two country missions have taken place since the last meeting, one to Pakistan and one to
    Darfur. UNICEF sent representative to participate in the Darfur mission.
• Partners flagged that NGOs need longer lead time to respond to requests to participate in the
    missions. The requests for country missions coming to WHO from OCHA and the countries
    are planned in advanced with adequate notice.
• The Global Cluster missions need participants from the global level and not local partners'
• Funding : from next year GHC has no money available to support missions and all partners
    need to pay for themselves. All cost entailed with the cluster has to be mainstreamed within
    the partners' organizations.
• It was suggested to identify a country missions team that will be available on short notice to
    support trainings and missions.
• It was also suggested to organize country missions on request from the partners in the GHC.

Challenge: Advise on the management of the GHC roster. Document how to employ an HCC
using the roster.
• The GHC secretariat is keeping track of the people who attended and passed the assessment
    component in the HCC training. The CO calls for candidates. The training unit and GHC
    suggest candidates and the RO in collaboration with the RRO department chooses candidates.

 Challenge: Document lessons learned from trainings and workshops as basis for ongoing
improvement; develop quality assurance mechanisms
The feedback from the trainings has been used to improve the trainings.

Challenge: Hold a meeting for experienced HCC to document good practices and lessons learned
The planned ‘lessons learned’ workshop was postponed but should be a priority for 2010. Further
discussions are needed to explore methods of collecting lessons learned.

4. Update on Inter-agency work

OCHA has been developing the Humanitarian Dashboard, which aims to give an indication of the
severity of an event based on a number of indicators. The IASC working group has been
considering the Dashboard. The Dashboard cannot be utilised by a self nominated group. It needs
to be part of the needs assessment task force. Specific indicators from the different sectors need to
be collated and compared. Some clusters have not participated in the discussion or have
participated only partly.

5. Activities for workplan 2010 and presentation for 17 November

There have been a number of challenges faced during 2009.
• Timing of the events: it has been difficult to plan ahead and to carry out tasks in a timely
   manner. This has resulted in partners being unable to participate.
• Lack of engagement of NGOs: reasons for NGOs not being more engaged must be identified
   and confronted. A wider, more inclusive discussion needs to take place before. Requests for
   more transparent decision making and inclusiveness on the setting of the agenda of WG
•   The fragmentation of the workplan into expectations of task groups has not been successful
    and needs to be reviewed.
•   There has been a too ambitious workplan and too many diverse activities.
Way forward for 2010
• The GHC has $437 184 for activities and staff in 2010. The GHC received funding from
  ECHO for the biennium 2009-2010. No other donors have approached the WHO with
  funding promises. The funding issue will limit the activities and also limit NGO participation.
• Health Action in Crises (HAC) cluster is organizing a donor meeting in December and there
  might be opportunities for GHC to receive funding from other donors.
• The suggestion is for the GHC to piggy-back on partners' activities which are already funded,
  by inserting cluster components with information on humanitarian reform and GHC
  developed tools in partners' workshops and trainings.
• The GHC WG had 23 activities in 2009. There is a need to identify fewer prioritize for 2010
  and streamline the activities in order to achieve them all.
• Identifying clearer sets of activities will allow the partners to better engage in the activities.
• There is a need to find ways to work more efficiently together, with clearer links and
  interaction between the policy and strategy teams and the Working Group.
• There a question as to whether/not a Global Health cluster bulletin should/could be developed
  perhaps using quarterly-bulletins with health cluster information on trainings, missions and
• It was suggested to ask for participation in specific activities where organizations can use
  their expertise in the development of material/training that will be of benefit to them..

        Priorities for 2010
    1.  Continue with capacity development
    2.  Capture learning
    3.  Create a training pool
    4.  Ensure improved quality and quantity of the HCC roster
    5.  Train co-cluster leads
    6.  Document HCC lessons learned
    7.  Ensure that tools developed are used
    8.  Provide training opportunities and country support.
    9.  Roll out Health Cluster at country level
    10. Participate in joint inter-cluster missions and GHC joint missions
    11. Team building training with training and workshops on country level and urging that
        anyone doing a mission should add one day for a workshop on the cluster and the tools.
    12. Enhance NGOs /UN/others participation in the GHC
    13. Hold a ‘Lessons learned’ workshops for field staff

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