The Cross-Programmatic Efficiency Analysis (CPEA), is a WHO developed diagnostic approach that detects inefficiencies in health systems by identifying and addressing duplications, misalignments and overlaps between shared functions that are common across health programs.
In June 2022, Results for Development (R4D) and the Strategic Purchasing Africa Resource Centre (SPARC) partnered with the WHO Health Financing Team and the WHO Regional Office for Africa, to host a three-day virtual workshop convening a diverse set of stakeholders, primarily from seven countries that conducted a CPEA assessment: Côte d’Ivoire, Comoros, Kenya, Ghana, United Republic of Tanzania, Nigeria and Uganda.
The workshop’s primary objective was to enable collaboration and learning across countries in the WHO African Region that have conducted a CPEA and to facilitate real and sustainable policy progress
to address and resolve inefficiencies.
This summary report synthesizes the findings and messages related to CPEA implementation, including both the cross-programmatic inefficiencies identified as well as mechanisms to address them. Key themes and learnings include:
- Undue fragmentation across health programs constrained each country’s progress towards Universal Health Coverage (UHC)
- CPEA can be institutionalized as a lever and integrated with other health system reforms to improve efficiency across health programs
- Both technical expertise and political commitment are required to address inefficiencies identified by CPEA
- Coordination, both vertically and horizontally, is critical and can have a multiplier effect throughout the system
- Having a single national plan that’s unified and well connected brings coherence and accountability across the system to address cross programmatic inefficiencies
