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Meeting of Ministers of Health and Finance o n Domestic Financing for Health 12 November 2013 Addis Ababa, Ethiopia PowerPoint Presentation
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Innovative Solutions for Funding H ealth : Past , Present , & Future. Meeting of Ministers of Health and Finance o n Domestic Financing for Health 12 November 2013 Addis Ababa, Ethiopia.

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Presentation Transcript
slide1

Innovative Solutions for Funding Health: Past, Present, & Future

Meeting of Ministers of Health and Finance

on Domestic Financing for Health

12 November 2013

Addis Ababa, Ethiopia

slide3

What we heard from the Honorable Ministers, MPs, Delegates, and Civil Society in the video was encouraging…

  • “Departure from traditional thinking…”
  • “Efficiency & effectively using existing resources…”
  • “Partnership with private sector…”
  • “Community…”
  • “Thinking outside of the box…”
  • “Go beyond the norm…”
  • “Sustainability”
  • “Homegrown…”
  • “Suite the needs of African continent…”
  • Value for Money
  • New technologies
  • “Political will…”
slide4

In 1962, child mortality and family size divided the world into developed and emerging economies, with little in the gap…

Emerging

Economies

Developed

Economies

slide5

…but over the past 50 years there has been a dramatic shift in the organization of the world trending to smaller families

1

First, child mortality declines…

…and then family size declines

2

slide7

Over the past 50 years, life expectancy in the US gained just 7 years as new diseases become more prevalent in society

Polio,

Measles

(1962/63)

Influenza Epidemic

(1918)

Smallpox

(1915)

Penicillin

(1925)

slide8

As countries experience economic growth, there is a tendency for higher health costs to accumulate later in life…

“…nearly 30% of lifetime health expenditure is incurred during middle age…

…and nearly an additional 40% during the senior years…”

Total: 70-75%

slide9

In the past decade, Non-ODA has contributed greatly to the development aid universe creating new funding opportunities

Total Development Aid from 1967 - 2011

499

(US$, billions)

Non-ODA + ODA (9%)

ODA (7%)

134

Source: OECD data 2013; Non-ODA is all aid related investments including PPP, other than Official Development Assistance as defined by OECD.

slide10

We might want to start thinking a little more creatively and collaboratively about funding health…

As the world develops, demographics shift, people live longer…

As health interventions become more expensive, and aid more dynamic

product red
PRODUCT(RED)
  • Established: 2006
  • Objectives: To build a commercial development product using consumer contributions
  • Source of funding: Percentage of profit generated from purchase of (RED) products (Apple, Microsoft, Starbucks etc) by consumers worldwide

Pays a fee for

(RED) trademark

PRODUCT (RED)

$10

$10

  • Funding raised to date: > $ 215 Million
  • Impact: 14 million people with HIV/AIDS in Sub-Saharan Africa
slide13

Advanced Market Commitments (AMC)

  • Established: 2007
  • Objectives: To stimulate manufacturer to produce new vaccines at affordable prices
  • Source of funding: Donor Governments of Canada, Italy, Norway, Russia, UK and Gates Foundation

Assess if the vaccine

meet criteria

Independent Assessment

Committee

Vaccine

Manufacturers

Vaccines are delivered to countries

UNICEF

Enter into procurement

agreement

Contribute to long term cost of the vaccines

Provide financial

support to AMC Funds

Donor Governments

GAVI

Alliance

  • Funding raised to date: US$1.5 billion donor commitment
  • Impact: Access to pneumococcal vaccine 10 years sooner. Could save 1.5 mm lives by 2020. Beneficiaries include Benin, Cameroon, CAR, Congo& other African countries
debt2health
Debt2Health
  • Established: 2007
  • Objectives: To convert debt service payments into new investments in health
  • Source of funding: Amount of debt foregone in developing country by creditor country

Creditor

Beneficiary

Debt cancellation

Counterpart Payment(s)

Global Fund

Funding of grants based on Performance based funding system

  • Funding raised to date: € 170 million
  • Impact: Debtor countries include Pakistan, Indonesia, Cote d’Ivoire, Egypt
slide15

The Global Fund’s Focus in Innovative Finance

RDI Ratio

ODA as a %

of Total Development

Aid

Global Fund’s positioning in Innovative Finance

Timeline

15

RDI Ratio: Relationship between a country’s lower disease burden & income level

slide16

Pay-for-Performance Instrument

  • Product design phase at the Global Fund
  • Objectives: To leverage upfront private investment for malaria intervention programs
  • Source of funding: Impact investors (e.g. high net worth individuals, foundations)
  • 5. Repayment and ROI from performance-based payments

Outcome Funders

1. Upfront investment

Instrument-issuing organization

Impact

Investors

Verification Agent

4. Outcome and impact results are independently verified

2. Funding for operating costs

Service Provider

3. Deliver interventions

Funding targeted: US$ 20-30 million

Impact: Increase efficiency of program implementation

slide17

Health Microinsurance

  • Product design phase at the Global Fund
  • Objectives: To build a business model for quality primary health care that is affordable, sustainable, scalable and replicable
  • Source of funding: Donors, private sector companies, government etc
  • High Fees
  • Sick Workers
  • Low Productivity
  • Family Members Falling Sick

Solution requires high quality delivered at a very low cost and will need to conquer the barrier of cash payments that keep so many from seeking medical care.

  • Funding Targeted: In discussion with MI intermediaries, telecos, private sector companies
  • Impact: Overall goal is universal health coverage. Pilot will be initiated in a few countries
slide19

Contact Information

Innovative Finance Department

Makiko Takayama

Specialist

makiko.takayama@theglobalfund.org

Adam Bornstein

Specialist

adam.bornstein@theglobalfund.org