We support national and sub-national governments and partners to implement financing solutions that enable more efficient, effective and equitable delivery of health services. We are driven by the goal of achieving universal health coverage. By using a health systems approach, our support ensures financial risk protection and access to quality health care services for all. Our health financing expertise focuses on four strategic areas:
1. We support ministries of health to identify and implement health financing solutions to overcome bottlenecks in the health system
We work with ministries of health to ensure that scarce public funds are channelled where they are needed most, with minimal delay and maximum efficiency. We develop and use a range of analytical tools to identify health system challenges and provide tailored solutions to addressing bottlenecks in the system. For example:
- We undertake Public Expenditure Reviews (PERs) to examine the extent to which public spending in health aligns with stated priorities and identify opportunities to make better use of available funds.
- We develop funding flow maps for government partners to highlight existing barriers to the efficient flow of funds and the financial gaps to implement current commitments.
- We provide public financial management expertise to governments to ensure strategic allocation and efficient use of resources.
- We support the design and implementation of Performance Based Financing (PBF) schemes to address health systems challenges such as stock-outs of medicines and supplies, staffing gaps and infrastructure weaknesses.
2. We support advocacy and accountability for improved investment in health
Working with local government, civil society organisations, and accountability groups, we advocate for the prioritisation of health within government budgets. We support those groups to hold governments to account for their resource allocation and expenditure commitments. For example:
- We analyse and package evidence on the importance of investing in family planning and maternal health, and present it to parliamentarians and decision-makers at national and sub-national levels.
- We build capacity of civil society groups to undertake budget analysis to assess the extent to which budget allocations align with national or sub-national priorities and commitments, and budget tracking to monitor how allocated funds are being disbursed and used.
- We provide technical expertise to accountability coalitions to hold their governments accountable for commitments made as part of international and national initiatives, such as FP2020, or the Global Financing Facility.
- We demystify financing and economic arguments in health by presenting evidence in accessible ways for diverse audiences including the media and civil society, thus enabling them to make the case for additional funding and hold government to account for how this is spent.
3. We support strategies to increase financial risk protection
We help design and implement innovative demand-side financing schemes, as well as leverage existing health financing mechanisms, such as health insurance or fee waiver schemes, to ensure that those most in need can access essential health services. For example:
- We have designed and implemented voucher programmes to reduce the direct and indirect financial barriers to accessing maternal health and family planning services.
- In Nigeria, we supported Jigawa State government to design a benefit package for health insurance schemes which included comprehensive family planning services.
- In Kenya, we supported the Bungoma County Health Management Team to increase uptake of free maternity services by building capacity of facilities to process claims and increasing public awareness.
4. We influence global policy and practice on health financing
We work with key players that shape global policy on health financing to ensure that strategic guidance is grounded in the realities of what works in practice. By drawing on evidence from our programmes as well as the wealth of experience of our country teams, we bring valuable perspectives that help to inform practical and workable solutions for health financing goals. For example:
- We document progress made at the country level so that national governments and donors can learn from these experiences.
- We have mapped multilateral donor approaches to aid transition, identifying the key risks of a change in donor financing and recommending how donors and recipient countries can manage this transition.
- We are currently undertaking a review of the ways in which European donor governments seek to support and incentivise domestic resource mobilization for SRHR. Based on this we will develop advocacy recommendations for Countdown 2030 Europe.
In Nepal, Aama increased the number of women delivering in a facility from 18% to 55% between 2006 and 2014
In Malawi, 140,872 women have delivered their babies safely in a RBF supported facility
In Kenya, between November 2015 and November 2016 11,342 vouchers were distributed to poor mothers in Bungoma enabling them access quality maternal and newborn health services
In Yemen as of April 2016,24,404 women received a safe motherhood voucher and used it to deliver in a facility