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DFID and the Health MDGs

DFID and the Health MDGs. James Droop 16 March 2010. 1.C: Halve, between 1990 and 2015, the proportion of people who suffer from hunger (Prevalence of underweight children under-five years of age) 4: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate

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DFID and the Health MDGs

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  1. DFID and the Health MDGs James Droop 16 March 2010

  2. 1.C: Halve, between 1990 and 2015, the proportion of people who suffer from hunger (Prevalence of underweight children under-five years of age) • 4: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate • 5.A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio. B: Achieve, by 2015, universal access to reproductive health • 6.A: Have halted by 2015 and begun to reverse the spread of HIV/AIDS. B: Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it. C: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases

  3. 25 x increase 02/03 - 08/09 (2% to 17% bilateral aid) DFID health spend by types of aid 2008/09 (provisional data) Source: DFID, Health Portfolio Review 2009

  4. ODA Commitments for Health (1995-2008) ODA Commitments for Nutrition, 1995-2007 Source: OECD/DAC Note: RH includes population policy and administrative management, reproductive health care, family planning, personnel development for population and reproductive health

  5. Maternal Mortality v. Fertility

  6. Health Financing:Needs and Resources If commitments met and GDP growth continues – no gap (when aggregated across countries) If stay at current levels of DAH – gap $28bn – $37bn by 2015

  7. 2007 DFID Health Strategy • Increasing the amount and improving the use of resources for health • Expanding access to basic services through stronger systems • Improving effectiveness of multilateral system • Demonstrating results and improving evidence • £7bn health spend 2008/15 (£1009m 08/09)

  8. White Paper 4

  9. AIDS Strategy • Between 2004-2008 over £1.5 billion to support the global AIDS response - second largest donor after the US. • £1 bn for the Global Fund for 2008-2015. £6 bn over 7 years for health • A 50% increase in funding for research and development of AIDS vaccines and microbicides • Stronger health systems to facilitate the scale up of preventative measures, such as prevention of mother to child transmission of HIV, help more effectively address co-morbidity of HIV with TB, malaria and other diseases and they will help deliver ARVs to those who need them.

  10. DFID and Global Health • £7bn Commitment to health 2008 – 2015 • £1bn to GFTAM • Policy engagement • Strong health systems and coordination focus • Board membership - GFATM, GAVI and UNITAID • Primary spend through bilateral programmes • Significant funding to GHIs and multilaterals • EC, WB, GFATM, UNITAID, GAVI and UNFPA

  11. Bilateral Spend: sub-sectors (provisional data) Source: DFID, Health Portfolio Review 2009

  12. 25 x increase 02/03 - 08/09 (2% to 17% bilateral aid) DFID health spend by types of aid 2008/09 (provisional data) Source: DFID, Health Portfolio Review 2009

  13. DFID Imputed Multilateral Spend on Health 2008/09 (provisional data) Note: DFID counts GAVI and UNITAID as bilateral spend Source: DFID, Health Portfolio Review 2009

  14. Health Systems Spend Health aid by sub sector Source: OECD DAC data

  15. International EngagementMore Money for Health, More Health for the Money

  16. Source; Don De Savigny & COHRED

  17. International Health Partnership (IHP+) "To work together in more efficient ways to improve health care and health outcomes… Led by country governments acting with their civil society we will tackle the challenges facing country health systems…. To build on and use the existing systems at country level… To be held to account in implementing this compact" Global Compact, September 2007

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