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IAPB 9 th General Assembly Symposium 1 The World Bank and Eye Health: Opportunities for collaboration Peter Ackland Mo

IAPB 9 th General Assembly Symposium 1 The World Bank and Eye Health: Opportunities for collaboration Peter Ackland Monday 17 th September 2012. Some global statistics for 2010 (All figures US$). 70,000,000,000,000 Global World Product.

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IAPB 9 th General Assembly Symposium 1 The World Bank and Eye Health: Opportunities for collaboration Peter Ackland Mo

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  1. IAPB 9th General Assembly Symposium 1 The World Bank and Eye Health: Opportunities for collaboration Peter Ackland Monday 17th September 2012

  2. Some global statistics for 2010 (All figures US$) 70,000,000,000,000 Global World Product 6,500,000,000,000 Global Health Expenditure 5,500,000,000,000 OECD Health Expenditure 1,000,000,000,000 Health Expenditure rest

  3. Paying for Health in the non-OECD countries 2010 (All figures US$) 1,000,000,000,000 Health exp. – non OECD 490,000,000,000 Out of pocket Health Exp 420,000,000,000 Government Health Exp 90,000,000,000 Insurance, Soc Security etc 26,870,000,000 Development Assistance Health

  4. Development Assistance to low & middle income countries 2010 (All figures US$) 26,870,000,000 Development Assistance 6,000,000,000 HIV / AIDS 1,500,000,000 Health System Strengthening 200,000,000 NCDs 13,000,000,000 Eye Health Requirement

  5. Sources of Development Assistance 2010 (All figures US$) 26,870,000,000 Development Assistance 12,000,000,000 Bilateral Devt. Agencies 1,500,000,000 World Bank 2,000,000,000 NGOs

  6. Conclusions Government and out of pocket expenditure account for 90+% health expenditure in most low income countries. The $127bn required to strengthen eye health systems and eliminate avoidable blindness by 2020 has to come primarily from within countries.

  7. Premises Key advocacy target is national Governments. i) Increase their commitment to their expenditure on eye health. ii) Increase social protection and insurance provision to reduce out of pocket expenditure – and include eye health in this provision. Engagement with the World Bank is important because of the INFLUENCE it has on national government policies and on other donors.

  8. The World Bank and Eye Health

  9. 1995-2002 World Bank supported India Cataract programme - $94m

  10. World Bank Managed Trust Funds Onchocerciasis Control Programme Africa Programme for Onchocerciasis Control (APOC) Elimination of transmission of Onchocerciaisis by 2025 – a real possibility.

  11. THE FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA NATIONAL SCHOOL HEALTH AND NUTRITION STRATEGY Ministry of Education DRAFT: APRIL 2012

  12. Cambodia Cambodia School screening for refractive errors research. Global Partnership for Education. Next step – operational research in 3-5 more countries.

  13. Results Based Financing Health system approach whereby payments are made to service providers who deliver defined health services to an agreed standard. Some countries support demand side incentives to overcome barriers to poor people taking up services. Opportunity to include cataract and trichiasis surgery in RBF packages.

  14. Current State of RBF in SSA MAURITANIA MALI NIGER ERITREA CHAD SENEGAL SUDAN THE GAMBIA BURKINA FASO GUINEA BISSAU GUINEA BENIN NIGERIA ETHIOPIA SIERRA LEONE CÔTE D’IVOIRE GHANA CENTRAL AFRICAN REPUBLIC LIBERIA CAMEROON TOGO SOMALIA DEM. REP.OF CONGO EQUATORIAL GUINEA UGANDA KENYA SAO TOME AND PRINCIPE GABON CONGO RWANDA BURUNDI SEYCHELLES TANZANIA National Scale-up (3) MALAWI COMOROS ANGOLA MAYOTTE (Fr.) Pilots Ongoing (7) ZAMBIA MOZAMBIQUE Advanced Planning (7) ZIMBABWE MADAGASCAR Under Discussion (8) NAMIBIA MAURITIUS BOTSWANA Impact Evaluation (8) SWAZILAND SOUTH AFRICA LESOTHO

  15. Ethiopia Nigeria Health Results Innovation Fund $500m till 2022 Burundi

  16. Trichiasis surgery Results Based Financing Health System Strengthening Neglected Tropical Diseases Caroline Anstey Managing Director of the World Bank Meeting with IAPB – April 2012

  17. OPPORTUNITY BECKONS EYE HEALTH FINANCING AS PART OF OVERALL HEALTH SYSTEM STRENGTHENING NOW NEEDS SERIOUS ENGAGEMENT AT COUNTRY LEVEL

  18. Thank you.

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