Transparency and Participation in Health Services (MO0031)

CHALLENGE The lack of transparency in information and health service procedures ; Weakness of mechanisms for citizen participation when it comes to setting priorities, designing, monitoring and assessing health-related programs at the local and national levels. This has an impact on the quality of health services.

PROPOSED SOLUTION The following actions will be implemented to improve the transparency of information and health services procedures : • Transcription and publication of health services procedures ; • Proactive publication of health sector information ; • Develop a national health services map ; • Human resources, specializations, distribution ; • Equipment ; • Medications and drugs data ; • Medical coverage data. All this information will be released either in mapped or in Open Data format to enable easy access and reuse. As for strengthening citizen and civil society participation to improve health services, a number of mechanisms will be deployed, particularly: • Holding consultative meetings ; • Conducting opinion polls ; • Development of an online platform where citizens will have an opportunity to submit their proposals ; • Preparation and publication of periodic reports on citizens’ proposals.

EXPECTED RESULTS Strengthening of transparency and integrity within the health sector ; • Improvement in the quality of health services provided.

PERFORMANCE INDICATORS Number of health services procedures that have been transcribed ; • Number of health services procedures that have been published ; • Number of health information published in mapped format ; • Number of health-related information published in open format ; • Number of participants who attended the consultative meetings ; • Number of respondents to the opinion survey ; • Progress rate in the development of the online platform receiving citizens’ proposals.

IMPACT INDICATORS Number of health services procedures that have been transcribed ; • Number of health services procedures that have been published ; • Number of health information published in mapped format ; • Number of health-related information published in open format ; • Number of participants who attended the consultative meetings ; • Number of respondents to the opinion survey ; • Progress rate in the development of the online platform receiving citizens’ proposals.

See action plan for milestone activities.

Action Plan Review

Commitment 7. Strengthening Transparency and Participation in Health Services Management

● Verifiable: Yes

● Does it have an open government lens? Yes

● Potential for results: Modest

Results Report

Commitment 7. Strengthening Transparency and Participation in Health Services Management

This commitment aimed to improve transparency in health service procedures and promote citizen participation in health program management. Evidence of implementation of milestone 1 to transcribe and publish health service procedures was not readily available. However, some information was found across the Ministry of Health's website news and Idarati.com. ^[35] There was proactive publication of 19 health datasets on the Open Data Portal (milestone 2) but there was no evidence that regular publication would be sustained. ^[36] Some publications, such as the Health Service Map 2022, were noted in the media but not available on the ministry's website, making the data less intuitive to find. Ministry of Health officials reported that milestones 3, 4, and 6, on internal consultative activities, opinion polls, and periodic reports, were completed internally but documented evidence was not available. Milestone 5 to integrate the Chikaya platform within the Ministry's website was completed.

Evidence available demonstrates the Ministry of Health's initial transparency efforts to engage with the administrative services, open data, and citizen complaint platforms. However, progress remains to ensure the Ministries' participation in these platforms is sustained and published information readily accessible. Moreover, absence of information on the internal activities hampers a comprehensive evaluation, consequently this commitment is evaluated to not have achieved notable results.