Policy/Program Formulation | NCD Department (previously Desk) has limited ability to mobilize resources, including human resources, necessary for the finalization and execution of the NCD Strategic Plan Government unable to commission studies to fill NCD knowledge gaps
| Inadequate recruitment of techno-managerial human resources limits the NCD Department's ability to manage and coordinate processes within the Ministry of Health to move the agenda for NCDs forward Reliance on external partners to address gaps in coordinating efforts around policy/program development
| Primary study on NCDs done in 2014 was donor-funded/partner-led; need more evidence; limited role of government in driving research efforts Reliance on external partners for technical assistance and policy formulation based on evidence they generate
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Policy/Program Implementation & Monitoring | Limited funding for implementing established guidelines Lack of public sector funding has elevated the role of partners and nongovernment organizations that are leading implementation Due to limited funding, the government's role is limited to supervising activities funded and implemented by external partners
| Program implementation activities are largely done by external partners with minimal government oversight Inadequate government oversight and coordination results in duplication of programs implemented by different actors Fragmentation of efforts results in external partners working in silos
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Cross-cutting Issues | Inertia to change existing funding practices, particularly if cuts are made to other disease areas Absorptive capacity of the government may be limited after partner-run programs end External actors provide significant financial and techno-managerial support in policy/program formulation and implementation processes
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