Step 1: Decide the Type of Action

The first step towards action is deciding what type of action is both indicated and feasible. The types of action following an assessment will vary depending on proposed recommendations, donor and stakeholder priorities, and the country context. The following types of action may be carried out individually or in a myriad of combinations.

Types of Action

  • Mobilize local action—This entails virtual support of local actors to implement recommendations. This option may be used when funding is limited, or when an entity (such as a public-private working group) already exists in country, requiring limited external assistance to implement recommendations.
  • Design a program—Often the donor is seeking guidance on how to encourage or leverage private sector involvement in health to help achieve public health goals. A common request after an assessment is to design a program to help achieve a specific set of objectives toward this end.
  • Develop a strategy—The work of identifying priorities for private sector engagement and/or public-private initiatives may have been initiated during the validation workshop. Developing a strategy involves reaching consensus through consultations with Ministry of Health leadership, NGOs, and private sector stakeholders; and mapping potential public-private partnerships to public health goals and identified gaps.
  • Provide direct technical assistance—Direct technical assistance is usually provided in combination with or following the other types of action. Common technical assistance areas following an assessment include policy, service delivery, and health financing interventions, as well as gender integration.

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