Team-building retreats and workshops can be incredibly rejuvenating, focusing and inspiring. Mid-April TCI Facilitator Jost Wagner co-designed and facilitated a team retreat with the GIZ Support to the Health Sector Programme (S2HSP) in Nepal. Some 70 staff members discussed and shared knowledge and ideas regarding various challenges, but also considered the consequences for their work in regard to the upcoming elections in the country and the change to a Federal State. The German Federal Ministry for Economic Cooperation and Development (BMZ) has been supporting the development of the Nepalese health sector since 1994. Significant progress has been made with respect to the health status of the Nepalese population including a substantial reduction in maternal and infant mortality. However, some systemic deficits persist. These relate to the lack of efficiency and effectiveness in the centralised, yet fragmented administration, insufficient social protection in case of illness and an urban health system unable to keep pace with the rapid rate of urbanisation. The quality, availability and, in part, also the acceptance of essential health services is still inadequate among large segments of the population, especially among the poor. This retreat included all staff members working on the four different components:
- Implementing a social health insurance system including strengthening hospital management
- Raising the quality of health care services in sexual and reproductive health
- Strengthening governance in health (including urban health)
- Upgrading and networking existing health information systems to prepare for a future national health information platform
Methods used in the workshop included the Caravan, Open Space and other interactive formats.