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Global Fund. Implications for Health Sector Financing. Overview of Presentation. The Health Financing Environment Objectives of Global Fund The Input of the Global Fund Sustainability of the Global Fund Implications for Health Finance Challenges of Integration.
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Global Fund Implications for Health Sector Financing
Overview of Presentation • The Health Financing Environment • Objectives of Global Fund • The Input of the Global Fund • Sustainability of the Global Fund • Implications for Health Finance • Challenges of Integration
The Health Financing Environment • Traditional Partners • Collaborating Partners (GOG & Health A/C) • Non-Collaborating Partners (Other Mechanisms) • Emerging Partnerships • Prepayment Schemes • MDBS • Sector Support (Health Fund & Earmarked Funds) • International Funding Initiatives • Millennium Challenge Account • Global Alliance for Vaccine Initiative Fund • Global Fund
Objectives of Global Fund • Provide Additional & Complimentary Funds to Fight: • HIV/AIDS • TB • Malaria • Ensure Accountability & Transparency • CCM, LFA, PR & SR • Use existing structures a.m.a.p.
Implications for Health Finance • Resource Envelop – An additional source • Resource Allocation – Targeted diseases • Implementation – In accordance with country strategy • Accountability – Consistent/Compatible with MOH systems
Integration of GF SWAP Integration Options Global Fund Pooled Contribution Earmarked Contribution Both acceptable under CMA Quarterly Releases Conditional Bi-Annual Releases Programs under GF Risk Cash Squeeze Joint Monitoring LFA & CCM Monitoring Complimentary Functions MOH Audits MOH Audits Acceptable under SWAP Annual Reviews External Monitoring Can be aligned over time
Challenges of GF • What is our experience after 2 years? • Can we demonstrate complimentality & additionality? • Can we make this source consistent & sustainable? • Ability to disburse to, & account for program activities • Maintaining Private-Public Sector Focus
Suggestions • Re-Think Donor Coordination • Gradually Integrate targeted programs • Improve Ghana’s capacity to scale-up implementation of targeted programs • National program management capacity • Assist Implementing Partners in planning • Ensure timely flow of funds to IPs