Yemen’s poor health outcomes are due in many ways to the performance of its health system. Decentralization has not been fully realized, the health workforce is wanting in quantity and quality, the country’s health information system is unreliable and health financing is unable to provide safety nets for the needy. Consequently, Yemen still lags behind its neighbours with health figures and inequity is a big concern. The main task of the Technical Assistance (TA) is to create a coordination mechanism that enables the MoPHP to effectively steer its sectors and departments internally as well as lead the subnational governance levels and development partners. EPOS deployed a team of experts who are then posted at key functional units of the Ministry to support with its stewardship role. Additionally, the TA assists directly in increasing the availability of information for decision making through an improved health management information system (HMIS) and the conduct of public expenditure tracking surveys (PETS).
The capacity development approach being implemented engages the MoPHP at individual, organization and system levels. The intention is to build on the governance credentials of key people in the Ministry so they can in effect lead their sectors and departments in the performance of MoPHP core functions. This is seen as a way to shape the credential requirement of key posts in the Ministry that would make change of management more conscientious. At the organization level, EPOS maximizes the opportunity provided by this project in bringing together the sectors and departments and making the Project Implementation and Coordination Committee as a forum to coordinate programs and discuss intra-Ministry collaboration. It is also made the forum to discuss performance of the MoPHP in core performance indicators. EPOS approach to system development is to formalize norms in practice because they tend to be more practical and are likely to be maintained. EPOS builds on the gains of previous projects and intends to sustain the momentum already created in the fields of governance and leadership, service provision and information generation. Interventions are organized around these themes bearing in mind that these build into health systems improvement. EPOS maximizes the advantage created by posting the TA team alongside counterparts in the Ministry to implement individual and institutional capacity development interventions that altogether aim for strengthening the Ministry to effectively provide stewardship of the health system. With the view of inciting coordination by creating platforms where stakeholders can converge, the common goal of setting up a uniform system of monitoring and evaluation, supervision and reporting as well as HMIS and PETS frames EPOS’ individual and institutional capacity interventions. EPOS also supports the development of the 5-Year Health Development Plan and advance the implementation of the essential package of services.