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Welcome to the Workshop Towards shared principles for reporting health impacts of development aid EC, EAGHA, The Lancet
Background • Increased funding for health over last two decades, external resources account for av. 25 % health funding, in some countries 50%. • Disease focus resulted in stagnation of health system funding until recently • Complex environment inc. funding for health interventions, targets, services and systems; bilateral and multilateral donors; various recipients governments, para-statal institutions, NGOs and private sector. • Increased scrutiny due to failure to reach MDGs, lack of country ownership, variable funding, fragmentation, inefficiency of disbursements, crowding out of national funding, economic pressures etc.
Background • Paris Declaration and Accra Agenda for Action • Taskforce for Innovative International Financing for Health Systems recommended +$10 bn of which 40 % to be on human and physical capital to increase absorptive capacity and the remainder on recurrent costs. • Evidence linking improved health outcomes to DAH is weak • Greater emphasis on health systems and on budget support when there are demands for better data on results poses challenges of attribution
Background New approaches must; • Address the needs of several stakeholders- national governments, donor community, taxpayers • Allow attribution of outcomes by different funders • Minimise double counting • Be readily intelligible to non-experts • Maximise transparency, including time lags • Be feasible to implement within constraints • Reflect importance of health systems funding rather than attributing all health benefits to funding of commodities • Use effectiveness rather than efficacy estimates • Use standardised approaches to lives saved
Objectives • Achieve a first step towards international agreement on good practice in reporting health impacts arising from development aid and health investments • Explore readiness of international development partners to embark on this exercise, • Explore the capacity and readiness of the European and other academic global health institutions to get involved in this work
Possible deliverables Near term: • Circulate a brief workshop report on action points and next steps • Follow up meeting to engage Southern partners at Global Forum meeting in April Mid term: • Concept paper on principles and on methodologies to be tested (mid 2012) ? • Collective scientific article (end 2012)? • A programme offer of support to LIC to test the methodology (mid/end 2012)? Long term: • Inputs to WHO / WHA on good practice principles in global health reporting (2013/2014)?